Individual
GERALD E GANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W KING ST, LANCASTER, PA 17603-3751
(717) 394-5671
Mailing address
1334 BEACONFIELD LN, LANCASTER, PA 17601-5343
(717) 577-2735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP027278L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP027278L
STATE LICENSE
PA
Enumeration date
09/14/2006
Last updated
07/08/2007
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