MEDICARE: DOUG'S FAMILY 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
1	3336C0003X	Community/Retail Pharmacy	PP413739L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235267196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUG'S FAMILY PHARMACY

Provider Business Mailing Address
First Line	:	101 DARBY SQ
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9303
Country	:	US
Telephone Number	:	610-286-0496
Fax Number	:	610-286-6968

Provider Business Practice Location Address
First Line	:	101 DARBY SQ
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9303
Country	:	US
Telephone Number	:	610-286-0496
Fax Number	:	610-286-6968

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DOUGLAS ROYCE HESS
Credential	:	RPH
Telephone Number	:	610-286-0496

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/16/2013

Similar Medicare Providers

1013919661 — DOUGS FAMILY PHARMACY
Practice Location Address:

101 DARBY SQ
ELVERSON, PA
19520-9303

Practice Phone: 610-286-0496
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1942295027 — GORDON R DONALDSON DO
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1710958475 — FOCUSEDHEALTH PC
Practice Location Address:

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1730133414 — DR. MARGARET ANGELA SHIRK O.D.
Practice Location Address:

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1376590711 — ST. JOSEPH REGIONAL HEALTH NETWORK
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Directions to “DOUG'S FAMILY PHARMACY ” Practice Location

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