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NPI Code Detail

MEDICARE: DR. DAVID S BLYTHE PHARMD

MEDICARE: DR. DAVID S BLYTHE PHARMD
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
1183500000XPharmacistRP444594PA

General Provider Information

NPI Number : 1821380742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID S BLYTHE PHARMD
Provider Business Mailing Address
First Line : 4237 WALNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5238
Country : US
Telephone Number : 215-222-2440
Fax Number : 215-222-2442
Provider Business Practice Location Address
First Line : 3300 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-1601
Country : US
Telephone Number : 215-624-3903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2011
Last Update Date : 03/01/2020

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Directions to “ DR. DAVID S BLYTHE PHARMD” Practice Location

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