MEDICARE: TERMED OF BERKS COUNTY INC

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	333600000X	Pharmacy	PP415214L	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3972076	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1891831418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERMED OF BERKS COUNTY INC

Provider Business Mailing Address
First Line	:	1323 ROUTE 100
Second Line	:
City	:	BARTO
State	:	PA
Zip	:	19504-8724
Country	:	US
Telephone Number	:	610-845-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 ROUTE 100
Second Line	:
City	:	BARTO
State	:	PA
Zip	:	19504-8724
Country	:	US
Telephone Number	:	610-845-8777
Fax Number	:	610-845-8709

Authorized Official
Title or Position	:	PHARMACIST
Name	:	TERRY HUDON
Credential	:	RPH
Telephone Number	:	610-845-8777

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	03/07/2023

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Directions to “TERMED OF BERKS COUNTY INC ” Practice Location

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