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NPI Code Detail

MEDICARE: MR. BRIAN SWEENEY PHARMD

MEDICARE: MR. BRIAN SWEENEY 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
1183500000XPharmacistRP438783PA

General Provider Information

NPI Number : 1831474683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN SWEENEY 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 :
Fax Number :
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 : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “ MR. BRIAN SWEENEY PHARMD” Practice Location

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