Olde Hickory Pharmacy INC
NPI #1669414371 in Lititz, Pennsylvania
Provider Information
- NPI Number
- 1669414371
- Entity Type
- Organization
- Organization Name
- Olde Hickory Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 3 WOODHENGE CIR
- City
- Lititz
- State
- Pennsylvania
- ZIP Code
- 17543-9096
- Phone
- (717) 431-8429
Authorized Official
- Name
- DARRYL BON FESSUTO, RPH
- Title
- PRESIDENT CEO HEAD PHARMACIST
- Phone
- (717) 824-2189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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