Healthcare Provider Details
I. General information
NPI: 1518252311
Provider Name (Legal Business Name): LISA M BOX PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/09/2011
Last Update Date: 03/14/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2251 YORK CROSSING DR
YORK PA
17408-4753
US
IV. Provider business mailing address
227 HERSHEY RD
HUMMELSTOWN PA
17036
US
V. Phone/Fax
- Phone: 717-767-2362
- Fax: 717-781-8138
- Phone: 717-256-0054
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP444318 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 15056 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: