MEDICARE: KATHLEEN MARY INVERSO 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	RP-032422-L	PA

General Provider Information

NPI Number	:	1174524755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MARY INVERSO RPH

Provider Business Mailing Address
First Line	:	5 LION CT
Second Line	:
City	:	LIMERICK
State	:	PA
Zip	:	19468-1339
Country	:	US
Telephone Number	:	610-792-9505
Fax Number	:	610-792-2488

Provider Business Practice Location Address
First Line	:	70 BUCKWALTER RD
Second Line	:	SUITE 113
City	:	ROYERSFORD
State	:	PA
Zip	:	19468-1846
Country	:	US
Telephone Number	:	610-948-0838
Fax Number	:	610-792-4014

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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