| NPI | 1134124274 |
|---|---|
| Doing Business As | DBA PARK AVENUE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER B HOPPLE Owner 717-264-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP411765L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-09-24 |