Healthcare Provider Details

I. General information

NPI: 1407444813
Provider Name (Legal Business Name): JENNIFER ALWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2021
Last Update Date: 01/02/2021
Certification Date: 01/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 WHITE ST
YORK PA
17404-4952
US

IV. Provider business mailing address

2485 CHURCH RD
YORK PA
17408-3923
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-1318
  • Fax:
Mailing address:
  • Phone: 717-858-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: