MEDICARE: DAVID M SEVIC 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
1	183500000X	Pharmacist	RP040096L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP040096L	OTHER	PA	PHARMACIST

General Provider Information

NPI Number	:	1437251154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M SEVIC RPH

Provider Business Mailing Address
First Line	:	274 SUNRISE DR
Second Line	:
City	:	LEECHBURG
State	:	PA
Zip	:	15656-1503
Country	:	US
Telephone Number	:	724-845-1867
Fax Number	:

Provider Business Practice Location Address
First Line	:	838 PITTSBURGH ST
Second Line	:
City	:	SPRINGDALE
State	:	PA
Zip	:	15144-1623
Country	:	US
Telephone Number	:	724-274-6611
Fax Number	:

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/08/2007

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Directions to “ DAVID M SEVIC RPH” Practice Location

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