Healthcare Provider Details

I. General information

NPI: 1255921680
Provider Name (Legal Business Name): STEPHANIE ILENE GARFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 NAPFLE ST
PHILADELPHIA PA
19152-3614
US

IV. Provider business mailing address

75 LENAPE RD
RICHBORO PA
18954-1259
US

V. Phone/Fax

Practice location:
  • Phone: 215-725-6337
  • Fax:
Mailing address:
  • Phone: 215-260-5343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP038241L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: