Organization · Type 2 NPI

Masonic Villages of the Grand Lodge of Pennsylvania

Long Term Care Pharmacy · Elizabethtown, PA

NPI number 1659625580 Active

Practice location

1 Masonic Dr
Elizabethtown, PA 17022-2199

Call (717) 367-1121 Map

Fax (717) 367-5813

Mailing address

99 Masonic Dr
Elizabethtown, PA 17022-2573

Specialties and licenses

Taxonomy	Code	License
Institutional Pharmacy	3336I0012X	HP416534L (PA)
Long Term Care Pharmacy Primary	3336L0003X	HP416534L (PA)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

26 other providers at this address

Other long term care pharmacy providers in Elizabethtown

Sloans Pharmacy, Inc.Long Term Care Pharmacy Elizabethtown, PA NPI 1902459142

See all in Elizabethtown →

NPI record

NPI: 1659625580
Entity type: Organization (Type 2)
Issued: Oct 30, 2012
Last updated: Mar 3, 2026
Status: Active

Other names

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Masonic Village Pharmacy · doing business as
Masonic Village Pharmacy · doing business as

Authorized official

Ms. Pamela Formica, CPA
Chief Financial Officer
(717) 367-1121

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About NPI 1659625580

Masonic Villages of the Grand Lodge of Pennsylvania's National Provider Identifier is 1659625580, issued on Oct 30, 2012. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Elizabethtown, PA. The record was last updated on Mar 3, 2026.