Provider Demographics
NPI:1578165023
Name:LOCHMAN, LANCE R (RPH)
Entity Type:Individual
Prefix:
First Name:LANCE
Middle Name:R
Last Name:LOCHMAN
Suffix:
Gender:M
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:THE COMMUNITY PHARMACY
Mailing Address - Street 2:145 NORTH 6TH ST
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601
Mailing Address - Country:US
Mailing Address - Phone:610-208-4660
Mailing Address - Fax:610-208-4661
Practice Address - Street 1:THE COMMUNITY PHARMACY
Practice Address - Street 2:145 NORTH 6TH ST
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601
Practice Address - Country:US
Practice Address - Phone:610-208-4660
Practice Address - Fax:610-208-4661
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043271L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3973939Medicaid