DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CASANDRA BONITA JETER RPH

MEDICARE: CASANDRA BONITA JETER 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP029008LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11679663793OTHERPANPI

General Provider Information

NPI Number : 1336453521
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASANDRA BONITA JETER RPH
Provider Business Mailing Address
First Line : 2201 W ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-1420
Country : US
Telephone Number : 215-223-8979
Fax Number : 215-227-0932
Provider Business Practice Location Address
First Line : 2201 W ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-1420
Country : US
Telephone Number : 215-223-8979
Fax Number : 215-227-0932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2010
Last Update Date : 07/30/2010

Similar Medicare Providers

1023967213 — REDISCOVER THERAPY LLC
Practice Location Address:
2219 W ALLEGHENY AVE STE 2219-23
PHILADELPHIA, PA
19132-1420
Practice Phone: 267-251-1642
Practice Fax: 267-251-1642
1679663793 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:
2201 WEST ALLEGHENY AVENUE
PHILADELPHIA, PA
19132-1420
Practice Phone: 215-223-8979
Practice Fax:
1720392400 — Y NHU DANG
Practice Location Address:
2201 W ALLEGHENY AVE
PHILADELPHIA, PA
19132-1420
Practice Phone: 215-223-8979
Practice Fax:
1114330149 — AJAY PETER
Practice Location Address:
2201 W ALLEGHENY AVE
PHILADELPHIA, PA
19132-1420
Practice Phone: 215-223-8979
Practice Fax:
1275948960 — TIBEBU NIGIBO
Practice Location Address:
2201 W ALLEGHENY AVE
PHILADELPHIA, PA
19132-1420
Practice Phone: 215-223-8979
Practice Fax:
1134608847 — STANLEY YU
Practice Location Address:
2201 W ALLEGHENY AVE
PHILADELPHIA, PA
19132-1420
Practice Phone: 215-223-8979
Practice Fax:

Directions to “ CASANDRA BONITA JETER RPH” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.