Provider Demographics
NPI:1992807739
Name:MCALANIS, GEORGE MARTIN (RPH, BS)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MARTIN
Last Name:MCALANIS
Suffix:
Gender:M
Credentials:RPH, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SHAFFER RD
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17061-1266
Mailing Address - Country:US
Mailing Address - Phone:717-692-3620
Mailing Address - Fax:
Practice Address - Street 1:1561 STATE ROUTE 209
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17061-8217
Practice Address - Country:US
Practice Address - Phone:717-692-2161
Practice Address - Fax:717-692-2162
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028112L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP028112LOtherLICENSE NUMBER,PHARMACIST