MEDICARE: DR. MICHAEL ANDREW DECKER JR. PHARMD

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	RP453647	PA

General Provider Information

NPI Number	:	1013588920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANDREW DECKER JR. PHARMD

Provider Business Mailing Address
First Line	:	14 YORK RD
Second Line	:
City	:	DOUGLASSVILLE
State	:	PA
Zip	:	19518-9634
Country	:	US
Telephone Number	:	215-910-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 5TH STREET HWY
Second Line	:
City	:	TEMPLE
State	:	PA
Zip	:	19560-1740
Country	:	US
Telephone Number	:	610-939-2640
Fax Number	:

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

Provider Enumeration Date	:	07/02/2021
Last Update Date	:	05/23/2023

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