Healthcare Provider Details

I. General information

NPI: 1174524755
Provider Name (Legal Business Name): KATHLEEN MARY INVERSO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 BUCKWALTER RD SUITE 113
ROYERSFORD PA
19468-1846
US

IV. Provider business mailing address

5 LION CT
LIMERICK PA
19468-1339
US

V. Phone/Fax

Practice location:
  • Phone: 610-948-0838
  • Fax: 610-792-4014
Mailing address:
  • Phone: 610-792-9505
  • Fax: 610-792-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP-032422-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: