MEDICARE: RICHARD JAMES HARWOOD

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
1	183500000X	Pharmacist	RP025373L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP025373L	OTHER	PA	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1003084013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD JAMES HARWOOD

Provider Business Mailing Address
First Line	:	3219 ADAMS CT
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-1807
Country	:	US
Telephone Number	:	215-757-0261
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 FRANKLIN MILLS BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-3109
Country	:	US
Telephone Number	:	215-612-1201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	02/12/2008

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