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NPI Code Detail

MEDICARE: JEROME EDWARD DROGALIS RPH

MEDICARE: JEROME EDWARD DROGALIS 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
1183500000XPharmacistRP031148LPA

General Provider Information

NPI Number : 1558859876
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROME EDWARD DROGALIS RPH
Provider Business Mailing Address
First Line : 112 HILLCREST DR
Second Line :
City : DURYEA
State : PA
Zip : 18642-1525
Country : US
Telephone Number : 570-313-1137
Fax Number :
Provider Business Practice Location Address
First Line : 3913 HARTZDALE DR STE 1306
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-7845
Country : US
Telephone Number : 717-766-6191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/23/2018

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Directions to “ JEROME EDWARD DROGALIS RPH” Practice Location

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