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NPI Code Detail

MEDICARE: JENSEY MATHEWS PHARMD

MEDICARE: JENSEY MATHEWS PHARMD
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
1183500000XPharmacistRP444995PA

General Provider Information

NPI Number : 1679869879
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENSEY MATHEWS PHARMD
Provider Business Mailing Address
First Line : 15 SIENNA CIR
Second Line :
City : IVYLAND
State : PA
Zip : 18974-1788
Country : US
Telephone Number : 215-520-9541
Fax Number :
Provider Business Practice Location Address
First Line : 3601 MIDVALE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1712
Country : US
Telephone Number : 215-842-2950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2011
Last Update Date : 06/26/2011

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Directions to “ JENSEY MATHEWS PHARMD” Practice Location

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