MEDICARE: STEVEN GOLOFF 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	RP028464L	PA

General Provider Information

NPI Number	:	1770794810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN GOLOFF RPH

Provider Business Mailing Address
First Line	:	6649 EASTWOOD ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19149-2331
Country	:	US
Telephone Number	:	215-278-7711
Fax Number	:	215-278-7712

Provider Business Practice Location Address
First Line	:	6649 EASTWOOD ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19149-2331
Country	:	US
Telephone Number	:	215-278-7711
Fax Number	:	215-278-7712

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	02/04/2016

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