Antietam Health Services
NPI #1104915321 in Williamsport, Maryland
Provider Information
- NPI Number
- 1104915321
- Entity Type
- Organization
- Organization Name
- Antietam Health Services
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 307 E POTOMAC STREET
- City
- Williamsport
- State
- Maryland
- ZIP Code
- 21795-1203
- Phone
- (301) 223-4100
Authorized Official
- Name
- MR. LAURENCE ALLEN HICKMAN JR., RPH
- Title
- PHARMACIST MANAGER
- Phone
- (301) 223-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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