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NPI Code Detail

MEDICARE: MRS. MERCY W PHILIP RPH

MEDICARE: MRS. MERCY W PHILIP RPH
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
1183500000XPharmacist047024NY

General Provider Information

NPI Number : 1124340526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MERCY W PHILIP RPH
Provider Business Mailing Address
First Line : 128 S FARVIEW AVE
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2514
Country : US
Telephone Number : 201-673-6733
Fax Number :
Provider Business Practice Location Address
First Line : 280 S MAIN ST
Second Line :
City : NEW CITY
State : NY
Zip : 10956-3327
Country : US
Telephone Number : 845-639-8150
Fax Number : 845-639-8156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2010
Last Update Date : 09/23/2014

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Directions to “ MRS. MERCY W PHILIP RPH” Practice Location

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