Provider Demographics
NPI:1073117370
Name:MAKHLOUF, LANA RAWYA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:RAWYA
Last Name:MAKHLOUF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-9328
Mailing Address - Country:US
Mailing Address - Phone:717-354-4268
Mailing Address - Fax:
Practice Address - Street 1:706 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9328
Practice Address - Country:US
Practice Address - Phone:717-354-4268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist