Provider Demographics
NPI:1134515471
Name:GANSE APOTHECARY LLC
Entity Type:Organization
Organization Name:GANSE APOTHECARY LLC
Other - Org Name:ALTRUIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-984-2204
Mailing Address - Street 1:7 N CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3702
Mailing Address - Country:US
Mailing Address - Phone:717-394-5671
Mailing Address - Fax:
Practice Address - Street 1:7 N CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3702
Practice Address - Country:US
Practice Address - Phone:717-394-5671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy