MEDICARE: JEFFREY MOSKOWITZ 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
1	183500000X	Pharmacist	RP029592L	PA

General Provider Information

NPI Number	:	1659526945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY MOSKOWITZ RPH

Provider Business Mailing Address
First Line	:	6934 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1805
Country	:	US
Telephone Number	:	215-333-1566
Fax Number	:	215-333-8225

Provider Business Practice Location Address
First Line	:	6934 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1805
Country	:	US
Telephone Number	:	215-333-1566
Fax Number	:	215-333-8225

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

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	12/01/2008

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