MEDICARE: MR. MICHAEL SCOTT SILVONEK 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	RP029170-L	PA

General Provider Information

NPI Number	:	1346401494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL SCOTT SILVONEK RPH

Provider Business Mailing Address
First Line	:	2827 APPLE VALLEY ESTATES DR
Second Line	:
City	:	OREFIELD
State	:	PA
Zip	:	18069-2243
Country	:	US
Telephone Number	:	610-398-1593
Fax Number	:	610-395-4486

Provider Business Practice Location Address
First Line	:	1650 N CEDAR CREST BLVD
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2318
Country	:	US
Telephone Number	:	610-395-3671
Fax Number	:	610-395-4486

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

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	06/20/2008

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