Healthcare Provider Details

I. General information

NPI: 1447951884
Provider Name (Legal Business Name): SANDY JEAN KLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 03/13/2023
Certification Date: 03/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 PHILADELPHIA AVE
READING PA
19607-2769
US

IV. Provider business mailing address

670 PHILADELPHIA AVE
READING PA
19607-2769
US

V. Phone/Fax

Practice location:
  • Phone: 610-777-8278
  • Fax: 610-796-2097
Mailing address:
  • Phone: 610-777-8278
  • Fax: 610-796-2097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number160100663426281
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: