MEDICARE: STEVEN P ALBERTSON

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	RP032211L	PA

General Provider Information

NPI Number	:	1427492040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN P ALBERTSON

Provider Business Mailing Address
First Line	:	2860 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2712
Country	:	US
Telephone Number	:	215-225-2886
Fax Number	:

Provider Business Practice Location Address
First Line	:	2860 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2712
Country	:	US
Telephone Number	:	215-225-2886
Fax Number	:

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

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	04/25/2013

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Directions to “ STEVEN P ALBERTSON ” Practice Location

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