Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Masonic Villages of the Grand Lodge of Pennsylvania

Organization Institutional Pharmacy · NPI 1659625580

Masonic Villages of the Grand Lodge of Pennsylvania is an Institutional Pharmacy in Elizabethtown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1 Masonic Dr
Elizabethtown, PA 17022-2199
Phone: (717) 367-1121
Fax: (717) 367-5813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence HP416534L (PA)
Institutional Pharmacy Taxonomy 3336I0012X · Licence HP416534L (PA)

Record details

NPI number1659625580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Formica — Chief Financial Officer · (717) 367-1121
Other names Masonic Village Pharmacy; Masonic Village Pharmacy
NPI enumeratedOctober 30, 2012
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address99 Masonic Dr, Elizabethtown, PA 17022-2573