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NPI Code Detail

MEDICARE: VLADIMIR BERKOVICH

MEDICARE: VLADIMIR BERKOVICH
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
1183500000XPharmacistRP444868PA

General Provider Information

NPI Number : 1356603617
Entity Type Code : Individual
Provider Name (Legal Business Name) : VLADIMIR BERKOVICH
Provider Business Mailing Address
First Line : 9823 LAYTON RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1914
Country : US
Telephone Number : 267-505-6642
Fax Number :
Provider Business Practice Location Address
First Line : 2500 BOULEVARD OF THE GENERALS
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3692
Country : US
Telephone Number : 610-539-5093
Fax Number : 610-539-5294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 06/13/2012

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Directions to “ VLADIMIR BERKOVICH ” Practice Location

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