| NPI | 1457348138 |
|---|---|
| Doing Business As | LG HEALTH CONVENIENCE PHARMACY SUBURBAN PAVILION |
| Entity Type | Organization |
| Authorized Contact | FRANK JOSEPH BYORICK SVP/CFO 717-544-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP413717L) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2019-11-20 |