Provider Demographics
NPI:1588646996
Name:BAILKIN, STEPHEN I (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:I
Last Name:BAILKIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:292 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4350
Mailing Address - Country:US
Mailing Address - Phone:215-675-7393
Mailing Address - Fax:215-229-8508
Practice Address - Street 1:2900 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-1832
Practice Address - Country:US
Practice Address - Phone:215-229-6454
Practice Address - Fax:215-229-8508
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026417L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist