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ROBERT PACKER HOSPITAL

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Company Details

Name: ROBERT PACKER HOSPITAL
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 20 Jan 1975 (50 years ago)
Entity Number: 360556
County: Tioga
Place of Formation: Pennsylvania
Address: THE ROBERT PACKER, HOSPITAL, SAYRE, PA, United States

Contact Details

Phone +1 570-882-2800

Phone +1 570-882-4289

Phone +1 570-887-5985

DOS Process Agent

Name Role Address
ROBERT PACKER HOSPITAL DOS Process Agent THE ROBERT PACKER, HOSPITAL, SAYRE, PA, United States

National Provider Identifier

NPI Number:
1730982596
Certification Date:
2025-03-28

Authorized Person:

Name:
SHAYNE WILCOX
Role:
OUTPATIENT PHARMACY MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6077985534

Filings

Filing Number Date Filed Type Effective Date
20050713027 2005-07-13 ASSUMED NAME CORP INITIAL FILING 2005-07-13
A208205-7 1975-01-20 APPLICATION OF AUTHORITY 1975-01-20

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State