Provider Demographics
NPI:1376524249
Name:GEORGE, VALERIE J (RPH)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:GEORGE
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 1:1131 E NEWPORT RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8532
Mailing Address - Country:US
Mailing Address - Phone:717-627-2555
Mailing Address - Fax:717-627-2555
Practice Address - Street 1:1131 E NEWPORT RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8532
Practice Address - Country:US
Practice Address - Phone:717-627-2555
Practice Address - Fax:717-627-2555
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030963L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP030963LOtherPHARMACIST