MEDICARE: PATRICK JOSEPH LAUGHLIN R PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835G0303X	Geriatric Pharmacist	RP026286L	PA

General Provider Information

NPI Number	:	1164783999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK JOSEPH LAUGHLIN R PH

Provider Business Mailing Address
First Line	:	1040 PRESTON RD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4853
Country	:	US
Telephone Number	:	717-569-6245
Fax Number	:

Provider Business Practice Location Address
First Line	:	3913 HARTZDALE DR
Second Line	:	SUITE 1306
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7845
Country	:	US
Telephone Number	:	717-695-9082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	06/07/2012

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