Organization
STAUFFER'S DRUG STORE LTD
Active
Other names
STAUFFER'S VILLAGE APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA STAUFFER (PHARMACIST)
(717) 355-6155
Entity
Organization
Contact information
Practice address
433 S KINZER AVE, NEW HOLLAND, PA 17557-8736
(717) 355-6155
(717) 355-6156
Mailing address
433 S KINZER AVE, NEW HOLLAND, PA 17557-8736
(717) 355-6155
(717) 355-6156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PP481855
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009997550004
—
PA
01
—
3991785
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/27/2009
Last updated
07/05/2010
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