MEDICARE: E. H. BERNSTINE 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	333600000X	Pharmacy	PP410637L	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	:	1295729960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E. H. BERNSTINE PHARMACY

Provider Business Mailing Address
First Line	:	2424 WEST FOURTH ST
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-4298
Country	:	US
Telephone Number	:	570-322-4665
Fax Number	:	570-322-0634

Provider Business Practice Location Address
First Line	:	2424 WEST FOURTH ST
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-4298
Country	:	US
Telephone Number	:	570-322-4665
Fax Number	:	570-322-0634

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD M RISHCOFF
Credential	:	RPH
Telephone Number	:	570-322-4665

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	08/22/2020

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Directions to “E. H. BERNSTINE PHARMACY ” Practice Location

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