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NPI Code Detail

MEDICARE: KREWSTOWN PHARMACY

MEDICARE: KREWSTOWN PHARMACY
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
13336C0003XCommunity/Retail PharmacyPP482214PA

General Provider Information

NPI Number : 1225315682
Entity Type Code : Organization
Provider Name (Legal Business Name) : KREWSTOWN PHARMACY
Provider Business Mailing Address
First Line : 9313 KREWSTOWN RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-3710
Country : US
Telephone Number : 215-673-7373
Fax Number :
Provider Business Practice Location Address
First Line : 9313 KREWSTOWN RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-3710
Country : US
Telephone Number : 215-673-7373
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. DEVASSYKUTTY K VAREED
Credential : BSC, BPHARM, RPH
Telephone Number : 215-673-7373
Provider Enumeration Date : 11/12/2011
Last Update Date : 11/26/2013

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Directions to “KREWSTOWN PHARMACY ” Practice Location

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