Provider Demographics
NPI:1326366840
Name:LITWAK, DONNA M (RPH)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:LITWAK
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 1:200 NEWBERRY COMMONS
Mailing Address - Street 2:
Mailing Address - City:ETTERS
Mailing Address - State:PA
Mailing Address - Zip Code:17319-9363
Mailing Address - Country:US
Mailing Address - Phone:717-730-7759
Mailing Address - Fax:717-760-7890
Practice Address - Street 1:200 NEWBERRY COMMONS
Practice Address - Street 2:
Practice Address - City:ETTERS
Practice Address - State:PA
Practice Address - Zip Code:17319-9363
Practice Address - Country:US
Practice Address - Phone:717-730-7759
Practice Address - Fax:717-760-7890
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036029L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP036029LOtherPHARMACIST LICENSE NUMBER