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NPI Code Detail

MEDICARE: MR. DAVID MANN RPH

MEDICARE: MR. DAVID MANN 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
1183500000XPharmacistRP037118LPA
2183500000XPharmacist049468-1NY

General Provider Information

NPI Number : 1184877805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID MANN RPH
Provider Business Mailing Address
First Line : 7720 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3818
Country : US
Telephone Number : 215-342-1091
Fax Number :
Provider Business Practice Location Address
First Line : 7720 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3818
Country : US
Telephone Number : 153-421-0912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2008
Last Update Date : 01/07/2021

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