MEDICARE: MCNEILL FAMILY PHARMACY INC

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	3336L0003X	Long Term Care Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PP410090L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2142263	OTHER		PK

General Provider Information

NPI Number	:	1114354735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCNEILL FAMILY PHARMACY INC

Provider Business Mailing Address
First Line	:	10 SCHEIVERT AVE
Second Line	:
City	:	ASTON
State	:	PA
Zip	:	19014-2762
Country	:	US
Telephone Number	:	610-494-1445
Fax Number	:	610-494-7697

Provider Business Practice Location Address
First Line	:	10 SCHEIVERT AVE
Second Line	:
City	:	ASTON
State	:	PA
Zip	:	19014-2762
Country	:	US
Telephone Number	:	610-494-1445
Fax Number	:	610-494-7697

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MARIA MCNEILL
Credential	:
Telephone Number	:	610-564-3082

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	10/06/2020

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