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NPI Code Detail

MEDICARE: RENEE MARIE MOTSKO RPH

MEDICARE:   RENEE MARIE MOTSKO  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
1183500000XPharmacistRP036519LPA

General Provider Information

NPI Number : 1578882270
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE MARIE MOTSKO RPH
Provider Business Mailing Address
First Line : 1 GOLD STAR PLZ
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-2530
Country : US
Telephone Number : 570-462-9651
Fax Number : 570-462-3256
Provider Business Practice Location Address
First Line : 1 GOLD STAR PLZ
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-2530
Country : US
Telephone Number : 570-462-9651
Fax Number : 570-462-3272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 05/20/2010

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Directions to “ RENEE MARIE MOTSKO RPH” Practice Location

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