| NPI | 1508549734 |
|---|---|
| Doing Business As | LTC PARK AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAWN L NAUGLE Book Keeper 717-264-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |