MEDICARE: HEALTH PLUS PHARMACY

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	3336C0003X	Community/Retail Pharmacy	PP482323	PA

General Provider Information

NPI Number	:	1275872285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH PLUS PHARMACY

Provider Business Mailing Address
First Line	:	8441 W CHESTER PIKE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1104
Country	:	US
Telephone Number	:	610-446-4900
Fax Number	:	610-446-4911

Provider Business Practice Location Address
First Line	:	8441 W CHESTER PIKE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1104
Country	:	US
Telephone Number	:	610-446-4900
Fax Number	:	610-446-4911

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. CHRISTOPHER RAYMOND HOFFMAN
Credential	:	RPH
Telephone Number	:	610-446-4900

Provider Enumeration Date	:	02/11/2013
Last Update Date	:	02/11/2013

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