Provider Demographics
NPI:1346241908
Name:INVERSO, ACHILLES J (RPH)
Entity Type:Individual
Prefix:
First Name:ACHILLES
Middle Name:J
Last Name:INVERSO
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 1:5 LION CT
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1339
Mailing Address - Country:US
Mailing Address - Phone:610-792-9505
Mailing Address - Fax:610-792-2488
Practice Address - Street 1:1600 BLACK ROCK RD
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-3109
Practice Address - Country:US
Practice Address - Phone:610-792-2314
Practice Address - Fax:610-792-4328
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-027601-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist