MEDICARE: MR. GARY MICHAEL KARWASKI RPH

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	RP029521L	PA

General Provider Information

NPI Number	:	1407805195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARY MICHAEL KARWASKI RPH

Provider Business Mailing Address
First Line	:	26 DALLAS SHOPPING CENTER
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612
Country	:	US
Telephone Number	:	570-674-5577
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 DALLAS SHOPPING CTR
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-1231
Country	:	US
Telephone Number	:	570-674-5577
Fax Number	:

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/08/2007

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