# STAUFFERS DRUG STORE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAUFFER'S LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770896714
- **Authorized official:** JOSHUA STAUFFER PHARM D (CEO)
- **Authorized official phone:** (717) 355-9304

## Contact information

- **Practice address:** 147 E MAIN ST, NEW HOLLAND, PA 17557-1227
- **Practice address phone:** (717) 355-9304
- **Practice address fax:** (717) 355-9302
- **Mailing address:** 149 E MAIN ST, NEW HOLLAND, PA 17557-1282
- **Mailing address phone:** (717) 355-9300
- **Mailing address fax:** (717) 355-9302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP481985 | PA | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 04/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009997550005 | — | PA |
| 01 | — | 2125824 | PK | — |