Provider Demographics
NPI:1942638028
Name:ADAMSKY, TATYANA (RPH)
Entity Type:Individual
Prefix:
First Name:TATYANA
Middle Name:
Last Name:ADAMSKY
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 1:19 SHELBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1679
Mailing Address - Country:US
Mailing Address - Phone:267-902-6112
Mailing Address - Fax:
Practice Address - Street 1:19 SHELBOURNE RD
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1679
Practice Address - Country:US
Practice Address - Phone:267-902-6112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-28
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042373L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist