MEDICARE: MS. NATALIE AUGUSTINE GRAMLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP441020	PA

General Provider Information

NPI Number	:	1013222769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE AUGUSTINE GRAMLEY

Provider Business Mailing Address
First Line	:	233 ATLANTIC AVE
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-9531
Country	:	US
Telephone Number	:	610-743-3044
Fax Number	:	610-743-3044

Provider Business Practice Location Address
First Line	:	3311 PENN AVE
Second Line	:
City	:	WEST LAWN
State	:	PA
Zip	:	19609-1436
Country	:	US
Telephone Number	:	610-678-1119
Fax Number	:	610-678-8470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	08/18/2010

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