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Organization

DB LUTZ INC

Active
Other names
RHOADS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LUTZ R.PH. (OWNER)
(717) 566-2525
Entity
Organization

Contact information

Practice address
17 W MAIN ST, HUMMELSTOWN, PA 17036-1516
(717) 566-2525
(717) 566-9497
Mailing address
17 W MAIN ST, HUMMELSTOWN, PA 17036-1516
(717) 566-2525
(717) 566-9497

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PP412070L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00584590
PA
01
2079611
PK
Enumeration date
12/12/2005
Last updated
04/01/2016
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