MEDICARE: TEMPLE PHARMACY INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	PP412536L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000284617	OTHER	PA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1487654778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHARMACY INC

Provider Business Mailing Address
First Line	:	103 FRALEY ST
Second Line	:	PO BOX 280
City	:	KANE
State	:	PA
Zip	:	16735-1326
Country	:	US
Telephone Number	:	814-837-6666
Fax Number	:	240-359-4479

Provider Business Practice Location Address
First Line	:	103 FRALEY ST
Second Line	:
City	:	KANE
State	:	PA
Zip	:	16735-1326
Country	:	US
Telephone Number	:	814-837-6666
Fax Number	:	240-359-4479

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. ANTHONY STEVEN GIORDANO
Credential	:	R.PH.
Telephone Number	:	814-837-6666

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	06/25/2008

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Directions to “TEMPLE PHARMACY INC ” Practice Location

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