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NPI Code Detail

MEDICARE: BRYAN R GOBIN RPH

MEDICARE: BRYAN R GOBIN 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
1183500000XPharmacistRP038992LPA

General Provider Information

NPI Number : 1760584684
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN R GOBIN RPH
Provider Business Mailing Address
First Line : 219 N BALTIMORE AVE
Second Line :
City : MOUNT HOLLY SPRINGS
State : PA
Zip : 17065-1204
Country : US
Telephone Number : 717-486-8606
Fax Number : 717-486-4410
Provider Business Practice Location Address
First Line : 219 N BALTIMORE AVE
Second Line :
City : MOUNT HOLLY SPRINGS
State : PA
Zip : 17065-1204
Country : US
Telephone Number : 717-486-8606
Fax Number : 717-486-4410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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Directions to “ BRYAN R GOBIN RPH” Practice Location

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