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NPI Code Detail

MEDICARE: EMILY ELIZABETH SKONECKI PHARMD

MEDICARE: EMILY ELIZABETH SKONECKI 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
1183500000XPharmacistRP452509PA

General Provider Information

NPI Number : 1215417472
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH SKONECKI PHARMD
Provider Business Mailing Address
First Line : 2141 ROUTE 38 APT 1009
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08002-4215
Country : US
Telephone Number : 570-590-8457
Fax Number :
Provider Business Practice Location Address
First Line : 1334 BAINBRIDGE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-1810
Country : US
Telephone Number : 215-625-7902
Fax Number : 215-625-7906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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