Provider Demographics
NPI:1790388049
Name:BEDNAREK-O'MARA, HELENE MARY (RPH)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:MARY
Last Name:BEDNAREK-O'MARA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6818
Mailing Address - Country:US
Mailing Address - Phone:215-855-1900
Mailing Address - Fax:215-361-2153
Practice Address - Street 1:2333 WELSH RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-6818
Practice Address - Country:US
Practice Address - Phone:215-855-1900
Practice Address - Fax:215-361-7698
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044155L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist