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Individual

MR. E. MARK PUNCHARD SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3460 BIGLERVILLE RD, BIGLERVILLE, PA 17307-9501
(717) 677-6600
(717) 677-9262
Mailing address
3460 BIGLERVILLE RD, BIGLERVILLE, PA 17307-9501
(717) 677-6600
(717) 677-9262

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP027702L
PA
183500000X
Pharmacist
RP1001011
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0325770006
MEDICARE IDENTIFICATION NUMBER
PA
05
100743152-0003
PA
01
1356492177
WELLSPAN PHARMACY - BIGLERVILLE - NPI NUMBER
PA
01
3946829
NABP NUMBER
PA
Enumeration date
08/18/2009
Last updated
08/18/2009
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