MEDICARE: MRS. MARCIA ANN CARTY 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RP043254L	PA

General Provider Information

NPI Number	:	1700482221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARCIA ANN CARTY RPH

Provider Business Mailing Address
First Line	:	651 FREEDOM WAY
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1608
Country	:	US
Telephone Number	:	215-872-5524
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 EISENHOWER AVE STE B209
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-2331
Country	:	US
Telephone Number	:	484-690-0160
Fax Number	:	484-690-0165

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	12/09/2020

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