MEDICARE: DR. BARBARA SITKO PHARMD

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	RP44702	PA

General Provider Information

NPI Number	:	1194015214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA SITKO PHARMD

Provider Business Mailing Address
First Line	:	2411 NEW BERWICK HWY
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-3135
Country	:	US
Telephone Number	:	570-387-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 NEW BERWICK HWY
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-3135
Country	:	US
Telephone Number	:	570-387-1900
Fax Number	:

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

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	04/11/2011

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