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NPI Code Detail

MEDICARE: VALARE PALMER PHARMD

MEDICARE:   VALARE  PALMER  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
1183500000XPharmacist451372PA

General Provider Information

NPI Number : 1871090050
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALARE PALMER PHARMD
Provider Business Mailing Address
First Line : 813 S 56TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-2817
Country : US
Telephone Number : 267-444-2604
Fax Number :
Provider Business Practice Location Address
First Line : 2600 N AMERICAN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-3413
Country : US
Telephone Number : 215-426-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2018
Last Update Date : 04/12/2018

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Directions to “ VALARE PALMER PHARMD” Practice Location

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