Provider Demographics
NPI:1700664315
Name:LOTUS PHARMACY LLC
Entity Type:Organization
Organization Name:LOTUS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-458-5451
Mailing Address - Street 1:25 GATEWAY DR STE A107
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2930
Mailing Address - Country:US
Mailing Address - Phone:717-458-5451
Mailing Address - Fax:717-458-1017
Practice Address - Street 1:25 GATEWAY DR STE A107
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2930
Practice Address - Country:US
Practice Address - Phone:717-458-5451
Practice Address - Fax:717-458-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy