Provider Demographics
NPI:1285346015
Name:PHIILIP, SANTHOSH
Entity type:Individual
Prefix:
First Name:SANTHOSH
Middle Name:
Last Name:PHIILIP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SANTHOSH
Other - Middle Name:
Other - Last Name:PHILIP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1254 E LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3005
Mailing Address - Country:US
Mailing Address - Phone:267-699-6548
Mailing Address - Fax:
Practice Address - Street 1:1254 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3005
Practice Address - Country:US
Practice Address - Phone:267-699-6548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist