MEDICARE: MRS. ANDREA D'ANDREA 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	RP037596L	PA

General Provider Information

NPI Number	:	1740680305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA D'ANDREA RPH

Provider Business Mailing Address
First Line	:	321 MILITIA HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-1807
Country	:	US
Telephone Number	:	215-740-3857
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 MILITIA HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-1807
Country	:	US
Telephone Number	:	215-740-3857
Fax Number	:

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

Provider Enumeration Date	:	09/01/2014
Last Update Date	:	09/01/2014

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