Individual
ALLEN LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
450 E MAIN ST, MIDDLETOWN, PA 17057-2740
(717) 944-0882
Mailing address
450 E MAIN ST, MIDDLETOWN, PA 17057-2740
(717) 944-0882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454802
PA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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