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NPI Code Detail

MEDICARE: RATH HEAN RPH

MEDICARE: RATH HEAN 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP044710LPA

General Provider Information

NPI Number : 1629412713
Entity Type Code : Individual
Provider Name (Legal Business Name) : RATH HEAN RPH
Provider Business Mailing Address
First Line : 2131 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-1105
Country : US
Telephone Number : 215-460-4243
Fax Number :
Provider Business Practice Location Address
First Line : 2131 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-1105
Country : US
Telephone Number : 215-460-4243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2013
Last Update Date : 05/09/2022

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