Organization
LIZZA PHARMACEUTICAL LLC
Active
Other names
Altruix, Laurel Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MANDOLI (COO)
(667) 408-7767
Entity
Organization
Contact information
Practice address
278 MCCLELLANDTOWN ROAD, UNIONTOWN, PA 15401
(724) 437-5070
(724) 437-7808
Mailing address
40 WIGHT AVE STE 100, COCKEYSVILLE, MD 21030-2148
(667) 408-7767
(724) 437-7808
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP481698
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102091796001
—
PA
01
—
2082220
PK
—
Enumeration date
11/07/2007
Last updated
05/05/2026
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