Provider Demographics
NPI:1568928869
Name:LANCASTER PHARMACY
Entity Type:Organization
Organization Name:LANCASTER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BONDZI-SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-948-1818
Mailing Address - Street 1:16912 STATE HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:MOJAVE
Mailing Address - State:CA
Mailing Address - Zip Code:93501-1226
Mailing Address - Country:US
Mailing Address - Phone:661-824-1800
Mailing Address - Fax:661-232-5050
Practice Address - Street 1:16912 STATE HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MOJAVE
Practice Address - State:CA
Practice Address - Zip Code:93501-1226
Practice Address - Country:US
Practice Address - Phone:661-824-1800
Practice Address - Fax:661-232-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy