MEDICARE: ERICK PAUL KNIGHT

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	RP438743	PA

General Provider Information

NPI Number	:	1124318407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICK PAUL KNIGHT

Provider Business Mailing Address
First Line	:	43 SHARON DR
Second Line	:
City	:	MOOSIC
State	:	PA
Zip	:	18507-1719
Country	:	US
Telephone Number	:	570-351-4871
Fax Number	:

Provider Business Practice Location Address
First Line	:	580 CARBONDALE RD
Second Line	:
City	:	SCOTT TOWNSHIP
State	:	PA
Zip	:	18447-7715
Country	:	US
Telephone Number	:	570-586-2749
Fax Number	:

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

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	04/07/2011

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