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Individual

DR. ANTOINE GENDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1507 LITITZ PIKE, LANCASTER, PA 17601-6505
(717) 449-0945
Mailing address
1464 GRASSY WAY, LANCASTER, PA 17601-4572
(717) 449-0945

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS54728
FL
183500000X
Pharmacist
Primary
RP443816
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS54728
PHARMACIST LICENSE
FL
01
RP443816
PHARMACIST LICENSE
PA
01
RPI003155
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
11/25/2020
Last updated
11/25/2020
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