MEDICARE: GERMANTOWN COMMUNITY HEALTH SVS

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	333600000X	Pharmacy	HP418074L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659451896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERMANTOWN COMMUNITY HEALTH SVS

Provider Business Mailing Address
First Line	:	1 PENN BLVD
Second Line	:	GERMANTOWN PHARMACY
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1476
Country	:	US
Telephone Number	:	215-951-8030
Fax Number	:	215-951-8083

Provider Business Practice Location Address
First Line	:	1 PENN BLVD
Second Line	:	GERMATOWN PHARMACY
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1476
Country	:	US
Telephone Number	:	215-951-8030
Fax Number	:	215-951-8083

Authorized Official
Title or Position	:	VICE PRESIDENT HEALTHCARE SERVICES
Name	:	BETH DUFFY
Credential	:
Telephone Number	:	215-456-6015

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	02/28/2008

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Directions to “GERMANTOWN COMMUNITY HEALTH SVS ” Practice Location

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