Masonic Villages of the Grand Lodge of Pennsylvania
NPI #1659625580 in Elizabethtown, Pennsylvania
Provider Information
- NPI Number
- 1659625580
- Entity Type
- Organization
- Organization Name
- Masonic Villages of the Grand Lodge of Pennsylvania
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Oct 30, 2012
- Last Updated
- Apr 4, 2018
Practice Location
- Address
- 1 MASONIC DR
- City
- Elizabethtown
- State
- Pennsylvania
- ZIP Code
- 17022-2199
- Phone
- (717) 367-1121
Authorized Official
- Name
- MR. WILLIAM J PRAZENICA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (717) 367-1121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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