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NPI Code Detail

MEDICARE: DR. KEVIN T BAIN PHARM.D.

MEDICARE:  DR. KEVIN T BAIN  PHARM.D.
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
11835G0303XGeriatric PharmacistRP045171LPA
21835P1200XPharmacotherapy PharmacistRP045171LPA

General Provider Information

NPI Number : 1548338999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN T BAIN PHARM.D.
Provider Business Mailing Address
First Line : 471 WEST AVENUE
Second Line :
City : DELANCO
State : NJ
Zip : 08075-5027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 CHERRY ST
Second Line : SUITE 1700
City : PHILADELPHIA
State : PA
Zip : 19102-1321
Country : US
Telephone Number : 215-282-1738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2006
Last Update Date : 10/29/2007

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Directions to “ DR. KEVIN T BAIN PHARM.D.” Practice Location

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