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Organization
STAUFFERS DRUG STORE LTD
Active
Organization
STAUFFERS DRUG STORE LTD
Active
Other names
STAUFFER'S LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA STAUFFER PHARM D (CEO)
(717) 355-9304
Entity
Organization
Contact information
Practice address
147 E MAIN ST, NEW HOLLAND, PA 17557-1227
(717) 355-9304
(717) 355-9302
Mailing address
149 E MAIN ST, NEW HOLLAND, PA 17557-1282
(717) 355-9300
(717) 355-9302
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PP481985
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009997550005
—
PA
01
—
2125824
PK
—
Enumeration date
07/20/2010
Last updated
04/28/2017
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