Provider Demographics
NPI:1851492326
Name:LOYER'S PHARMACY
Entity Type:Organization
Organization Name:LOYER'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LOYER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:717-244-3422
Mailing Address - Street 1:66 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RED LION
Mailing Address - State:PA
Mailing Address - Zip Code:17356-1718
Mailing Address - Country:US
Mailing Address - Phone:717-244-3422
Mailing Address - Fax:717-244-6869
Practice Address - Street 1:66 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-1718
Practice Address - Country:US
Practice Address - Phone:717-244-3422
Practice Address - Fax:717-244-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411423L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009688840001Medicaid
3925572OtherNCPDP
PA0009688840001Medicaid