Individual
ANDREA MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 972-4475
Mailing address
3822 CARRIAGE HOUSE DR, CAMP HILL, PA 17011-1456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP042577L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP042577L
STATE PHARMACY LICENSE NUMBER
PA
Enumeration date
01/04/2017
Last updated
01/04/2017
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