Provider Demographics
NPI:1396860466
Name:LECRONE, JOSEPH BRIAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BRIAN
Last Name:LECRONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-1335
Mailing Address - Country:US
Mailing Address - Phone:570-506-6618
Mailing Address - Fax:
Practice Address - Street 1:1100 GRAMPIAN BOULEVARD
Practice Address - Street 2:PHARMACY
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17754-2401
Practice Address - Country:US
Practice Address - Phone:570-320-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI004902183500000X
PARP039864L183500000X
PAL45193K3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist