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NPI Code Detail

MEDICARE: MISS MARIELA ORTIZ

MEDICARE: MISS MARIELA ORTIZ
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
1183500000XPharmacistRP452041PA

General Provider Information

NPI Number : 1770090904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARIELA ORTIZ
Provider Business Mailing Address
First Line : 338 E ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-2321
Country : US
Telephone Number : 215-634-4397
Fax Number :
Provider Business Practice Location Address
First Line : 338 E ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-2321
Country : US
Telephone Number : 215-634-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2018
Last Update Date : 01/09/2018

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Directions to “ MISS MARIELA ORTIZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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