MEDICARE: MS. JUDITH ANN OLIVERO

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	RP034549R	PA

General Provider Information

NPI Number	:	1891095972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH ANN OLIVERO

Provider Business Mailing Address
First Line	:	1844 BETHLEHEM PIKE
Second Line	:
City	:	FLOURTOWN
State	:	PA
Zip	:	19031-1504
Country	:	US
Telephone Number	:	215-948-8016
Fax Number	:	215-948-8003

Provider Business Practice Location Address
First Line	:	1844 BETHLEHEM PIKE
Second Line	:
City	:	FLOURTOWN
State	:	PA
Zip	:	19031-1504
Country	:	US
Telephone Number	:	215-948-8016
Fax Number	:	215-948-8003

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

Provider Enumeration Date	:	10/23/2010
Last Update Date	:	10/23/2010

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