MR. Brian M Tice, RPH

NPI #1013298025 in Glenolden, Pennsylvania

Provider Information

NPI Number: 1013298025
Entity Type: Individual
Name: MR. Brian M Tice, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 2, 2011
Last Updated: Sep 2, 2011

Practice Location

Address: 150 N MACDADE BLVD
City: Glenolden
State: Pennsylvania
ZIP Code: 19036-1224
Phone: (610) 586-5224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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