Individual
MR. GEORGE RUSSELL HATFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
317 W LANCASTER AVE, ARDMORE, PA 19003-1403
(610) 658-0737
(610) 658-0943
Mailing address
346 E LANCASTER AVE APT 508, WYNNEWOOD, PA 19096-2233
(610) 283-0150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040506L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RP040506L
—
PA
Enumeration date
11/30/2020
Last updated
11/30/2020
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