MEDICARE: NFRW INC

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
2	3336C0003X	Community/Retail Pharmacy	PP413161L	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
2	2087486	OTHER		PK

General Provider Information

NPI Number	:	1679588297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NFRW INC

Provider Business Mailing Address
First Line	:	1700 MARKET ST
Second Line	:	LOBBY 101
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3913
Country	:	US
Telephone Number	:	215-563-4860
Fax Number	:	215-563-7514

Provider Business Practice Location Address
First Line	:	1700 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3913
Country	:	US
Telephone Number	:	215-563-4860
Fax Number	:	215-563-7514

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MARIA STANKIEWICZ
Credential	:
Telephone Number	:	215-563-4860

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	09/26/2016

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Directions to “NFRW INC ” Practice Location

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