MEDICARE: GEORGE KREMENETS

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	RP454480	PA

General Provider Information

NPI Number	:	1134717457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE KREMENETS

Provider Business Mailing Address
First Line	:	394 APPLE DR
Second Line	:
City	:	EXTON
State	:	PA
Zip	:	19341-2163
Country	:	US
Telephone Number	:	215-432-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	3425 SCHUYLKILL RD
Second Line	:
City	:	SPRING CITY
State	:	PA
Zip	:	19475-1138
Country	:	US
Telephone Number	:	610-792-2061
Fax Number	:

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

Provider Enumeration Date	:	01/03/2021
Last Update Date	:	01/03/2021

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