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NPI Code Detail

MEDICARE: MR. MICHAEL ANTHONY BURNS I R.PH.

MEDICARE: MR. MICHAEL ANTHONY BURNS I R.PH.
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
1183500000XPharmacistRP043461LPA

General Provider Information

NPI Number : 1952570251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL ANTHONY BURNS I R.PH.
Provider Business Mailing Address
First Line : 7700 CRITTENDEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-4421
Country : US
Telephone Number : 215-247-3900
Fax Number : 215-247-1061
Provider Business Practice Location Address
First Line : 7700 CRITTENDEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-4421
Country : US
Telephone Number : 215-247-3900
Fax Number : 215-247-1061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 02/21/2008

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