Individual
GURDIP SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1550 COLUMBIA AVE, LANCASTER, PA 17603-4527
(717) 394-2580
Mailing address
25 WELSH DR, LANCASTER, PA 17601-2332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453085
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP453085
PA STATE BOARD OF PHARMACY
PA
Enumeration date
01/07/2019
Last updated
01/07/2019
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