MEDICARE: BETTY TOMS BSC, PHARM.D

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	RP043664L	PA

General Provider Information

NPI Number	:	1891730503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY TOMS BSC, PHARM.D

Provider Business Mailing Address
First Line	:	5105 KYLOCK RD
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4820
Country	:	US
Telephone Number	:	717-791-9354
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 SPRING RD
Second Line	:
City	:	SHERMANS DALE
State	:	PA
Zip	:	17090-8539
Country	:	US
Telephone Number	:	717-582-7781
Fax Number	:	717-582-4657

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	03/18/2011

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