MEDICARE: DR. MICHAEL ANTHONY BELPERIO III PHARMD, 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
1	183500000X	Pharmacist	RP457122	PA

General Provider Information

NPI Number	:	1285354993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANTHONY BELPERIO III PHARMD, RPH

Provider Business Mailing Address
First Line	:	1734 S 11TH ST # 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-1636
Country	:	US
Telephone Number	:	856-230-8615
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 W OREGON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4122
Country	:	US
Telephone Number	:	215-468-2481
Fax Number	:

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

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	09/01/2022

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