| NPI | 1487857207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M BOOMSMA President 717-393-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: PA PP481682) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481682) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: PA PP481682) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-02-02 |