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NPI Code Detail

MEDICARE: MR. CHRISTOPHER JOHN FERANEC R.PH

MEDICARE: MR. CHRISTOPHER JOHN FERANEC R.PH
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
1183500000XPharmacistRP043359LPA

General Provider Information

NPI Number : 1144566092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER JOHN FERANEC R.PH
Provider Business Mailing Address
First Line : 1227 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5414
Country : US
Telephone Number : 215-772-2772
Fax Number :
Provider Business Practice Location Address
First Line : 1227 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-5414
Country : US
Telephone Number : 215-772-2772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2012
Last Update Date : 12/21/2012

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