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NPI Code Detail

MEDICARE: DR. CHRISTOPHER KWOCK PHARMD

MEDICARE:  DR. CHRISTOPHER  KWOCK  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
1183500000XPharmacistRP457321PA

General Provider Information

NPI Number : 1952018004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER KWOCK PHARMD
Provider Business Mailing Address
First Line : 2501 WASHINGTON AVE APT 204
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-3950
Country : US
Telephone Number : 908-720-4911
Fax Number :
Provider Business Practice Location Address
First Line : 4314 LOCUST ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5232
Country : US
Telephone Number : 215-386-2093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2022
Last Update Date : 10/28/2022

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Directions to “ DR. CHRISTOPHER KWOCK PHARMD” Practice Location

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