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NPI Code Detail

MEDICARE: MR. JONATHAN F VALENTINO RPH

MEDICARE: MR. JONATHAN F VALENTINO 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
13336C0003XCommunity/Retail PharmacyRP041839LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RP041839LOTHERPALICENSE

General Provider Information

NPI Number : 1841918216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN F VALENTINO RPH
Provider Business Mailing Address
First Line : 300 STEIN RD
Second Line :
City : CHICORA
State : PA
Zip : 16025-3424
Country : US
Telephone Number : 724-496-6787
Fax Number :
Provider Business Practice Location Address
First Line : 937 E JEFFERSON ST
Second Line :
City : BUTLER
State : PA
Zip : 16001-2002
Country : US
Telephone Number : 724-285-3693
Fax Number : 724-285-4186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2022
Last Update Date : 08/21/2022

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