Organization
PARK AVENUE PHARMACY, INC
Active
Other names
dba PARK AVENUE PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L NAUGLE (BOOK KEEPER)
(717) 264-6652
Entity
Organization
Contact information
Practice address
220 PARK AVE, CHAMBERSBURG, PA 17201-1230
(717) 264-7312
(717) 264-3751
Mailing address
220 PARK AVE, CHAMBERSBURG, PA 17201-1230
(717) 264-7312
(717) 264-3751
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411765L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018904570001
—
PA
Enumeration date
06/16/2005
Last updated
12/29/2025
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