MEDICARE: JOHN PHILIP FINK PD

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	09115	MD

General Provider Information

NPI Number	:	1063576635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN PHILIP FINK PD

Provider Business Mailing Address
First Line	:	901 EASTERN BLVD
Second Line	:
City	:	ESSEX
State	:	MD
Zip	:	21221-3416
Country	:	US
Telephone Number	:	410-686-5500
Fax Number	:	410-687-1070

Provider Business Practice Location Address
First Line	:	901 EASTERN BLVD
Second Line	:
City	:	ESSEX
State	:	MD
Zip	:	21221-3416
Country	:	US
Telephone Number	:	410-686-5500
Fax Number	:	410-687-1070

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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