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NPI Code Detail

MEDICARE: CHRISTIAN HERMOSILLO

MEDICARE:   CHRISTIAN  HERMOSILLO
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
1183500000XPharmacistRP442147PA

General Provider Information

NPI Number : 1801347414
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN HERMOSILLO
Provider Business Mailing Address
First Line : 2160 STATE RD STE 1316
Second Line :
City : LANCASTER
State : PA
Zip : 17601-1812
Country : US
Telephone Number : 223-287-8127
Fax Number :
Provider Business Practice Location Address
First Line : 2160 STATE RD STE 1316
Second Line :
City : LANCASTER
State : PA
Zip : 17601-1812
Country : US
Telephone Number : 223-287-8126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2016
Last Update Date : 12/14/2022

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Directions to “ CHRISTIAN HERMOSILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.