Masonic Villages Of The Grand Lodge Of Pennsylvania
Long Term Care Pharmacy
1 Masonic Dr, Elizabethtown
Pennsylvania, 17022-2199
717-367-1121 717-367-5813
Masonic Villages Of The Grand Lodge Of Pennsylvania is a Long Term Care Pharmacy in Elizabethtown, Pennsylvania. It is located at 1 Masonic Dr, Elizabethtown and it's customer support contact number is 717-367-1121. The authorized person of Masonic Villages Of The Grand Lodge Of Pennsylvania is Mr. William J Prazenica who is Chief Financial Officer of the pharmacy and his contact number is 717-367-1121. Active license number of Masonic Villages Of The Grand Lodge Of Pennsylvania is HP416534L for Long Term Care Pharmacy in Pennsylvania.
Masonic Villages Of The Grand Lodge Of Pennsylvania is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Masonic Villages Of The Grand Lodge Of Pennsylvania type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Masonic Villages Of The Grand Lodge Of Pennsylvania |
| Type: | Long Term Care Pharmacy |
| Location: | 1 Masonic Dr, Elizabethtown,
Pennsylvania, 17022-2199 |
| Phone: | 717-367-1121 |
| Fax: | 717-367-5813 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. William J Prazenica |
| Position: | Chief Financial Officer |
| Contact Number: | 717-367-1121 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1659625580 |
| NPI Enumeration Date: | 30 Oct, 2012 |
| NPI Last Update On: | 04 Apr, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Masonic Villages Of The Grand Lodge Of Pennsylvania are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | HP416534L | Pennsylvania | Primary | |
| Institutional Pharmacy | HP416534L | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3998741 | Other | | Ncpdp |
| HP416534L | Other | Pennsylvania | Pharmacy License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 99 Masonic Dr,
Elizabethtown, Pennsylvania |
| Zip: | 17022-2573 |
| Phone Number: | 717-367-1121 |
| Fax Number: | 717-367-5813 |
Patients can reach Masonic Villages Of The Grand Lodge Of Pennsylvania at
1 Masonic Dr, Elizabethtown, Pennsylvania or can
call on customer care at 717-367-1121.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.