Provider Demographics
NPI:1912593765
Name:GEEDY, JENNIFER ANN (RPH)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:GEEDY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8820 CARLISLE RD
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17365-9741
Mailing Address - Country:US
Mailing Address - Phone:717-668-5083
Mailing Address - Fax:
Practice Address - Street 1:940 OAK OVAL
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-8410
Practice Address - Country:US
Practice Address - Phone:717-796-3611
Practice Address - Fax:177-963-6217
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034175L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist