MEDICARE: MS. LORIANN J. O'MALIA 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
1	183500000X	Pharmacist	RP036757L	PA

General Provider Information

NPI Number	:	1154405470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORIANN J. O'MALIA RPH

Provider Business Mailing Address
First Line	:	1125 N RIVER ST
Second Line	:
City	:	PLAINS
State	:	PA
Zip	:	18702-1822
Country	:	US
Telephone Number	:	570-825-5383
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 N RIVER ST
Second Line	:
City	:	PLAINS
State	:	PA
Zip	:	18702-1822
Country	:	US
Telephone Number	:	570-825-5383
Fax Number	:

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

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