MEDICARE: PAMELA GUARINO PHARMD

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	RP046171L	PA

General Provider Information

NPI Number	:	1518568336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA GUARINO PHARMD

Provider Business Mailing Address
First Line	:	967 S TOWNSHIP LINE RD
Second Line	:
City	:	ROYERSFORD
State	:	PA
Zip	:	19468-1823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	967 S TOWNSHIP LINE RD
Second Line	:
City	:	ROYERSFORD
State	:	PA
Zip	:	19468-1823
Country	:	US
Telephone Number	:	610-792-9388
Fax Number	:

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

Provider Enumeration Date	:	11/06/2020
Last Update Date	:	11/06/2020

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