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NPI Code Detail

MEDICARE: MR. DENNIS M MCGURK RPH

MEDICARE: MR. DENNIS M MCGURK 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
1183500000XPharmacistRP044036LPA

General Provider Information

NPI Number : 1366697260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS M MCGURK RPH
Provider Business Mailing Address
First Line : 3300 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-1601
Country : US
Telephone Number : 215-624-0440
Fax Number : 215-624-3902
Provider Business Practice Location Address
First Line : 3300 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-1601
Country : US
Telephone Number : 215-624-0440
Fax Number : 215-624-3902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2008
Last Update Date : 11/20/2008

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Directions to “ MR. DENNIS M MCGURK RPH” Practice Location

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