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NPI Code Detail

MEDICARE: CORUS PHARMACY AND HEALTHCARE PRODUCTS, INC.

MEDICARE: CORUS PHARMACY AND HEALTHCARE PRODUCTS, INC.
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
13336C0003XCommunity/Retail PharmacyPP481732PA
23336H0001XHome Infusion Therapy PharmacyPP481732PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427255892
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORUS PHARMACY AND HEALTHCARE PRODUCTS, INC.
Provider Business Mailing Address
First Line : 1246 TOWNSHIP LINE RD
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-5001
Country : US
Telephone Number : 484-452-6390
Fax Number :
Provider Business Practice Location Address
First Line : 1246 TOWNSHIP LINE RD
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-5001
Country : US
Telephone Number : 484-452-6390
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. MARTY WOLF
Credential :
Telephone Number : 484-452-6390
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/06/2012

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