MEDICARE: PHARMOP ASSOCIATES

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	333600000X	Pharmacy	PP413304L	PA

General Provider Information

NPI Number	:	1255302253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMOP ASSOCIATES

Provider Business Mailing Address
First Line	:	4168 GERMANTOWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2946
Country	:	US
Telephone Number	:	215-324-0503
Fax Number	:	215-487-2346

Provider Business Practice Location Address
First Line	:	4168 GERMANTOWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2946
Country	:	US
Telephone Number	:	215-324-0503
Fax Number	:	215-487-2346

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VICTOR JAY BAROUH
Credential	:	PHARMACIST
Telephone Number	:	215-324-0503

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	08/22/2020

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