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NPI Code Detail

MEDICARE: EMILY NOWOTARSKI PHARMD

MEDICARE:   EMILY  NOWOTARSKI  PHARMD
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
1183500000XPharmacistRP458005PA

General Provider Information

NPI Number : 1316786106
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NOWOTARSKI PHARMD
Provider Business Mailing Address
First Line : 62 DAMASCUS DR
Second Line :
City : BLANDON
State : PA
Zip : 19510-9761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2132 SOUTH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1227
Country : US
Telephone Number : 215-772-1260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2024
Last Update Date : 05/21/2024

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Directions to “ EMILY NOWOTARSKI PHARMD” Practice Location

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