Gianfranco Giacca
Individual provider Active NPI Pharmacist · Hatboro, PA
NPI 1730508375 · NPPES record last updated Apr 10, 2014
Key facts
- NPI
- 1730508375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP044162L (PA)
- Practice address
- 25 S York Rd
Hatboro, PA 19040-3231 - Phone
- (215) 443-7700
- Fax
- (215) 443-8255
- NPI assigned
- Apr 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044162L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County Line Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP044162L | PA | Yes |
Addresses
Primary practice location
25 S York Rd
Hatboro, PA 19040-3231
Mailing address
25 S York Rd
Hatboro, PA 19040-3231
Phone (215) 443-7700
Other providers in Hatboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.