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NPI Code Detail

MEDICARE: MRS. MARTHA LAYDON MERRITT RPH

MEDICARE: MRS. MARTHA LAYDON MERRITT 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
1183500000XPharmacistRP037511LPA

General Provider Information

NPI Number : 1720340441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA LAYDON MERRITT RPH
Provider Business Mailing Address
First Line : 2500 BOULEVARD OF THE GENERALS
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3692
Country : US
Telephone Number : 610-539-5093
Fax Number : 610-539-5294
Provider Business Practice Location Address
First Line : 2500 BOULEVARD OF THE GENERALS
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3692
Country : US
Telephone Number : 610-539-5093
Fax Number : 610-539-5294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2012
Last Update Date : 06/08/2012

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