Healthcare Provider Details

I. General information

NPI: 1417659988
Provider Name (Legal Business Name): CINDY A LLORENTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W MARKET ST
YORK PA
17401-1228
US

IV. Provider business mailing address

376 E MARKET ST APT 2R
YORK PA
17403-5613
US

V. Phone/Fax

Practice location:
  • Phone: 717-854-4432
  • Fax: 717-854-5412
Mailing address:
  • Phone: 717-301-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number30224141
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: