MEDICARE: MR. JOHN JOSEPH EARNEST 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	RP031736L	PA

General Provider Information

NPI Number	:	1598741613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN JOSEPH EARNEST RPH

Provider Business Mailing Address
First Line	:	3765 MAYFIELD LN
Second Line	:
City	:	CHADDS FORD
State	:	PA
Zip	:	19317-8915
Country	:	US
Telephone Number	:	610-558-9343
Fax Number	:	610-891-3463

Provider Business Practice Location Address
First Line	:	1088 W BALTIMORE PIKE
Second Line	:	SUITE 2102
City	:	MEDIA
State	:	PA
Zip	:	19063-5146
Country	:	US
Telephone Number	:	610-891-3154
Fax Number	:	610-891-3463

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	07/08/2007

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