MEDICARE: BRIAN TEED 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
1	183500000X	Pharmacist	RP458087	PA

General Provider Information

NPI Number	:	1902688435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN TEED PHARMD

Provider Business Mailing Address
First Line	:	146 WOODLAND RD
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-1474
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 W MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-1121
Country	:	US
Telephone Number	:	717-653-4747
Fax Number	:

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

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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Directions to “ BRIAN TEED PHARMD” Practice Location

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