Healthcare Provider Details

I. General information

NPI: 1598177800
Provider Name (Legal Business Name): BRAD SILVER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 WALNUT ST
PHILADELPHIA PA
19103-4305
US

IV. Provider business mailing address

2301 WALNUT ST
PHILADELPHIA PA
19103-4305
US

V. Phone/Fax

Practice location:
  • Phone: 215-636-9634
  • Fax:
Mailing address:
  • Phone: 215-636-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP447957
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03624100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: