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NPI Code Detail

MEDICARE: SPECTRUM HEALTH SERVICES, INC.

MEDICARE: SPECTRUM HEALTH SERVICES, INC.
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1164300901
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECTRUM HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 5201 HAVERFORD AVE FL 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-1401
Country : US
Telephone Number : 215-472-9100
Fax Number : 484-326-5622
Provider Business Practice Location Address
First Line : 5201 HAVERFORD AVE FL 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-1401
Country : US
Telephone Number : 215-472-9100
Fax Number : 484-326-5622
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : VERONICA HILL-MILBOURNE
Credential :
Telephone Number : 215-471-1267
Provider Enumeration Date : 08/21/2025
Last Update Date : 05/13/2026

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