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NPI Code Detail

MEDICARE: TANNER ASTON ZWETOLITZ PHARMD

MEDICARE: TANNER ASTON ZWETOLITZ PHARMD
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
1183500000XPharmacistRP458764PA

General Provider Information

NPI Number : 1598598344
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANNER ASTON ZWETOLITZ PHARMD
Provider Business Mailing Address
First Line : 1617 JOHN F KENNEDY BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-1821
Country : US
Telephone Number : 215-561-1316
Fax Number : 215-561-4822
Provider Business Practice Location Address
First Line : 1617 JOHN F KENNEDY BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-1821
Country : US
Telephone Number : 215-561-1316
Fax Number : 215-561-4822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 08/26/2024

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Directions to “ TANNER ASTON ZWETOLITZ PHARMD” Practice Location

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