Provider Demographics
NPI:1225164726
Name:BUDIN, JEFFREY S (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:S
Last Name:BUDIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 CANDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1021
Mailing Address - Country:US
Mailing Address - Phone:215-542-1358
Mailing Address - Fax:215-884-0327
Practice Address - Street 1:1460 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-2617
Practice Address - Country:US
Practice Address - Phone:215-884-2767
Practice Address - Fax:215-884-0327
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037315L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist