MEDICARE: TIFFANY LIGHTNER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP039875L	PA

General Provider Information

NPI Number	:	1891776803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY LIGHTNER RPH

Provider Business Mailing Address
First Line	:	3913 HARTZDALE DR
Second Line	:	SUITE 1306
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7845
Country	:	US
Telephone Number	:	717-695-9082
Fax Number	:	717-695-9538

Provider Business Practice Location Address
First Line	:	3913 HARTZDALE DR
Second Line	:	SUITE 1306
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7845
Country	:	US
Telephone Number	:	717-695-9082
Fax Number	:	717-695-9538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	10/11/2016

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