Provider Demographics
NPI:1730070400
Name:BYRNE, JARED WILLIAM
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:WILLIAM
Last Name:BYRNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 N CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3702
Mailing Address - Country:US
Mailing Address - Phone:717-682-3942
Mailing Address - Fax:
Practice Address - Street 1:7 N CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3702
Practice Address - Country:US
Practice Address - Phone:717-984-2204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458003183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist