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NPI Code Detail

MEDICARE: MR. RICHARD JOHN COLASANTE RPH

MEDICARE: MR. RICHARD JOHN COLASANTE 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
1183500000XPharmacistRP26826LPA

General Provider Information

NPI Number : 1841273455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD JOHN COLASANTE RPH
Provider Business Mailing Address
First Line : 2 SWEET GUM LN
Second Line :
City : HORSHAM
State : PA
Zip : 19044-3807
Country : US
Telephone Number : 215-657-3899
Fax Number :
Provider Business Practice Location Address
First Line : 333 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-2434
Country : US
Telephone Number : 215-728-3036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 07/08/2007

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Directions to “ MR. RICHARD JOHN COLASANTE RPH” Practice Location

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