MEDICARE: CATHY WOO 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	RP042499Y	PA

General Provider Information

NPI Number	:	1619381266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY WOO RPH

Provider Business Mailing Address
First Line	:	12823 MCCARTHY CIR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1528
Country	:	US
Telephone Number	:	267-243-0747
Fax Number	:	215-483-4430

Provider Business Practice Location Address
First Line	:	8500 HENRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2111
Country	:	US
Telephone Number	:	215-483-5995
Fax Number	:	215-483-4430

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

Provider Enumeration Date	:	06/11/2014
Last Update Date	:	06/11/2014

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Directions to “ CATHY WOO RPH” Practice Location

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