Provider Demographics
NPI:1164026498
Name:WARZOCHA, TOMASZ (PHARMD)
Entity Type:Individual
Prefix:
First Name:TOMASZ
Middle Name:
Last Name:WARZOCHA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3943 HULMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3824
Mailing Address - Country:US
Mailing Address - Phone:215-244-7002
Mailing Address - Fax:
Practice Address - Street 1:3943 HULMEVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3824
Practice Address - Country:US
Practice Address - Phone:215-244-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist