Most Relevant Information
Provider Data
| NPI Number: | 1003183815 |
| Provider Name: | CHARLES E KOCH PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP438674 |
Most Important Dates
| Enumeration Date: | 11/22/2011 |
| Last Updated: | 10/30/2020 |
Provider Practice Location
1070 NEW HOLLAND AVE
LANCASTER
PA
176015606
Practice Location Phone/Fax
| Phone: | 7175443590 |
| Fax: | 7175443610 |
Provider Mailing Location
1110 ENTERPRISE RD, SUITE C
EAST PETERSBURG
PA
175204340
Provider Mailing Phone/Fax
| Phone: | 7179252390 |
| Fax: | 7179252399 |