MEDICARE: MICHAEL BERNARDO 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	RP043223L	PA

General Provider Information

NPI Number	:	1316478621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BERNARDO RPH

Provider Business Mailing Address
First Line	:	2514 JACOB DR
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-9174
Country	:	US
Telephone Number	:	610-780-2076
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 JACOB DR
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-9174
Country	:	US
Telephone Number	:	610-780-2076
Fax Number	:

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

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	03/27/2017

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