Healthcare Provider Details

I. General information

NPI: 1730179144
Provider Name (Legal Business Name): LOEHLE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 LEHMAN ST
LEBANON PA
17046-4747
US

IV. Provider business mailing address

705 LEHMAN ST
LEBANON PA
17046-4747
US

V. Phone/Fax

Practice location:
  • Phone: 717-272-6951
  • Fax: 717-270-1364
Mailing address:
  • Phone: 717-272-6951
  • Fax: 717-270-1364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP026595L
License Number StatePA

VIII. Authorized Official

Name: GREGORY THOMAS ARNOLD
Title or Position: OWNER
Credential: R.PH.
Phone: 717-272-6951