Healthcare Provider Details

I. General information

NPI: 1154236461
Provider Name (Legal Business Name): AMANDA PRUSCH PHARMD, BCPS, CPPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N DUKE ST
LANCASTER PA
17602-2250
US

IV. Provider business mailing address

303 WISSLER WAY
LANDISVILLE PA
17538-1739
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-5219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP439451
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: