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NPI Code Detail

MEDICARE: MR. FELIX COLOMB

MEDICARE: MR. FELIX COLOMB
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
1183500000XPharmacistRP441299PA

General Provider Information

NPI Number : 1043538101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FELIX COLOMB
Provider Business Mailing Address
First Line : 5214-30 BALTIMORE AVENUE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-3240
Country : US
Telephone Number : 215-476-1724
Fax Number : 215-474-8354
Provider Business Practice Location Address
First Line : 5214 - 30 BALTIMORE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-3240
Country : US
Telephone Number : 215-476-1724
Fax Number : 215-474-8354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2010
Last Update Date : 06/25/2010

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