MEDICARE: MR. CHARLES J OBEID 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	RP034482L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1437267069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES J OBEID RPH

Provider Business Mailing Address
First Line	:	79 E CAREY ST
Second Line	:
City	:	PLAINS
State	:	PA
Zip	:	18705-2007
Country	:	US
Telephone Number	:	570-823-3151
Fax Number	:	570-823-6742

Provider Business Practice Location Address
First Line	:	79 E CAREY ST
Second Line	:
City	:	PLAINS
State	:	PA
Zip	:	18705-2007
Country	:	US
Telephone Number	:	570-823-3151
Fax Number	:	570-823-6742

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. CHARLES J OBEID RPH” Practice Location

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