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NPI Code Detail

MEDICARE: REBECCA JEAN DESIGNOR PHARM. D.

MEDICARE: REBECCA JEAN DESIGNOR PHARM. D.
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
1183500000XPharmacistRP449295PA

General Provider Information

NPI Number : 1285031724
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JEAN DESIGNOR PHARM. D.
Provider Business Mailing Address
First Line : 280 MEYER RD
Second Line :
City : NAZARETH
State : PA
Zip : 18064-9438
Country : US
Telephone Number : 610-905-8110
Fax Number :
Provider Business Practice Location Address
First Line : 3601 MIDVALE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1712
Country : US
Telephone Number : 215-842-2950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2014
Last Update Date : 11/27/2014

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Directions to “ REBECCA JEAN DESIGNOR PHARM. D.” Practice Location

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