Organization
PHILARX PHARMACY 5
Active
Other names
GoodMeds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAFIZ EBADY (CEO)
(609) 772-1314
Entity
Organization
Contact information
Practice address
2400 W PASSYUNK AVE, PHILADELPHIA, PA 19145-4114
(267) 928-2149
Mailing address
2400 W PASSYUNK AVE, PHILADELPHIA, PA 19145-4114
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482388
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145172
PK
—
Enumeration date
04/22/2014
Last updated
05/01/2014
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