MEDICARE: MR. STEVEN MICHAEL CHEPLICK RPH,M.B.A

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	RP032684L	PA

General Provider Information

NPI Number	:	1023218336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN MICHAEL CHEPLICK RPH,M.B.A

Provider Business Mailing Address
First Line	:	1666 GRAND CENTRAL AVE
Second Line	:
City	:	ELMIRA HEIGHTS
State	:	NY
Zip	:	14903-1947
Country	:	US
Telephone Number	:	607-733-4164
Fax Number	:	570-882-2827

Provider Business Practice Location Address
First Line	:	1666 GRAND CENTRAL AVE
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14903-1947
Country	:	US
Telephone Number	:	607-733-4164
Fax Number	:	570-882-2827

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

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	07/24/2007

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