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NPI Code Detail

MEDICARE: DR. NICK REGIS MASTRINE PHARMD

MEDICARE: DR. NICK REGIS MASTRINE 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
1183500000XPharmacistRP443954PA

General Provider Information

NPI Number : 1083928667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICK REGIS MASTRINE PHARMD
Provider Business Mailing Address
First Line : 2 STALLION CIR
Second Line :
City : HORSHAM
State : PA
Zip : 19044-1119
Country : US
Telephone Number : 814-248-8079
Fax Number :
Provider Business Practice Location Address
First Line : 2500 BOULEVARD OF THE GENERALS
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3692
Country : US
Telephone Number : 610-539-5093
Fax Number : 610-539-5294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 08/05/2010

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