MEDICARE: TTC ROUTINERECOVERY, LLC

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

General Provider Information

NPI Number	:	1760742100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TTC ROUTINERECOVERY, LLC

Provider Business Mailing Address
First Line	:	4548 MARKET ST
Second Line	:	SUITE M20
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3610
Country	:	US
Telephone Number	:	215-837-3983
Fax Number	:

Provider Business Practice Location Address
First Line	:	4548 MARKET ST
Second Line	:	SUITE M20
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3610
Country	:	US
Telephone Number	:	215-837-3983
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. LUCAS GLASS
Credential	:
Telephone Number	:	215-837-3983

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	05/18/2012

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