Organization
STAUFFERS DRUG STORE LTD
Active
Organization
STAUFFERS DRUG STORE LTD
Active
Other names
Stauffer's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFRY LOY STAUFFER PHARM.D. (PRESIDENT)
(717) 355-9300
Entity
Organization
Contact information
Practice address
149 E MAIN ST, NEW HOLLAND, PA 17557-1227
(717) 355-9300
(717) 355-9302
Mailing address
149 E MAIN ST, NEW HOLLAND, PA 17557-1227
(717) 355-9300
(717) 355-9302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP412789L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
PP412789L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP412789L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009997550002
—
PA
01
—
3949320
NABP
PA
Enumeration date
11/02/2006
Last updated
09/26/2012
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