| NPI | 1093754871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH SHIRLEY Vice President Pharmacy 717-240-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201002877) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201002877) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-03-30 |