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NPI Code Detail

MEDICARE: JAMES MARTIN MCCONNELL RPH

MEDICARE: JAMES MARTIN MCCONNELL 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
1183500000XPharmacistRP 035714 LPA

General Provider Information

NPI Number : 1225384464
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MARTIN MCCONNELL RPH
Provider Business Mailing Address
First Line : 138 VETERANS BLVD
Second Line :
City : DUNCANSVILLE
State : PA
Zip : 16635-8460
Country : US
Telephone Number : 814-696-5219
Fax Number :
Provider Business Practice Location Address
First Line : 138 VETERANS BLVD
Second Line :
City : DUNCANSVILLE
State : PA
Zip : 16635-8460
Country : US
Telephone Number : 814-696-5219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2012
Last Update Date : 07/25/2012

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