MEDICARE: MR. DAVID LIPMAN 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	28RI01384800	NJ

General Provider Information

NPI Number	:	1447708342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID LIPMAN RPH

Provider Business Mailing Address
First Line	:	355 APPLEGARTH RD
Second Line	:
City	:	MONROE
State	:	NJ
Zip	:	08831-3733
Country	:	US
Telephone Number	:	609-235-9368
Fax Number	:	609-235-9399

Provider Business Practice Location Address
First Line	:	355 APPLEGARTH RD
Second Line	:
City	:	MONROE
State	:	NJ
Zip	:	08831-3733
Country	:	US
Telephone Number	:	609-235-9368
Fax Number	:	609-235-9399

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

Provider Enumeration Date	:	09/20/2016
Last Update Date	:	09/20/2016

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