Organization
QUEEN PHARMACY INC
Active
Other names
QUEEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN GLASSMAN RPH (OWNER PHCST)
(717) 394-0744
Entity
Organization
Contact information
Practice address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 396-7844
(717) 396-7846
Mailing address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 396-7844
(717) 396-7846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415165L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007607990002
—
PA
01
—
3971694
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/07/2006
Last updated
10/18/2011
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