MEDICARE: DR. KIMBERLY ANN O'BRIEN 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	RP445180	PA
2	183500000X	Pharmacist	28RI03299400	NJ

General Provider Information

NPI Number	:	1225344351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY ANN O'BRIEN PHARMD

Provider Business Mailing Address
First Line	:	1303 SOUTH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-1852
Country	:	US
Telephone Number	:	732-718-7528
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 STEVENS DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19113-1532
Country	:	US
Telephone Number	:	215-937-8600
Fax Number	:	215-937-5313

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

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	01/16/2020

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Directions to “ DR. KIMBERLY ANN O'BRIEN PHARMD” Practice Location

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