MEDICARE: REDICLINIC OF PA, LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1427435171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDICLINIC OF PA, LLC

Provider Business Mailing Address
First Line	:	9 GREENWAY PLZ
Second Line	:	STE. 2950
City	:	HOUSTON
State	:	TX
Zip	:	77046-0905
Country	:	US
Telephone Number	:	713-335-1754
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 PHOENIXVILLE PIKE
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-7705
Country	:	US
Telephone Number	:	713-335-1742
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	DANIELLE BARRERA
Credential	:
Telephone Number	:	713-580-9489

Provider Enumeration Date	:	05/01/2015
Last Update Date	:	05/01/2015

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1407818321 — DR. DENIS ANDREW QUAGLIARIELLO D.M.D.
Practice Location Address:

1502 W CHESTER PIKE , SUITE 20
WEST CHESTER, PA
19382-7705

Practice Phone: 610-692-3312
Practice Fax:

1265480214 — MICHAEL EDWARD COLLINS
Practice Location Address:

1502 W CHESTER PIKE , NOVACARE
WEST CHESTER, PA
19382-7705

Practice Phone: 610-692-7298
Practice Fax: 610-692-6865

1780783043 — THRIFT DRUG INC
Practice Location Address:

1535 WEST CHESTER PIKE
WEST CHESTER, PA
19382-7705

Practice Phone: 610-692-2730
Practice Fax:

1376709436 — STEPHANIE MICHELLE VANLEEUWEN D.P.T.
Practice Location Address:

1502 W CHESTER PIKE , THE MARKET PLACE AT WESTTOWN
WEST CHESTER, PA
19382-7705

Practice Phone: 610-692-7208
Practice Fax: 610-692-6865

1396995395 — DR. JOE V JOHN PHARMD
Practice Location Address:

1502 W CHESTER PIKE
WEST CHESTER, PA
19382-7705

Practice Phone: 610-692-2730
Practice Fax:

1467773457 — MANIDEEPTHI NIMMAGADDA MS, RPH, CIP
Practice Location Address:

1502 W CHESTER PIKE , RITEAID 11153
WEST CHESTER, PA
19382-7705

Practice Phone: 610-692-2730
Practice Fax:

Directions to “REDICLINIC OF PA, LLC ” 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.