Organization
GARY'S RX SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA GARY FRIED R.PH. (PRESIDENT-RPH)
(215) 364-8770
Entity
Organization
Contact information
Practice address
33 E STREET RD, FEASTERVILLE TREVOSE, PA 19053-6047
(215) 364-8770
(215) 364-1792
Mailing address
33 E STREET RD, FEASTERVILLE TREVOSE, PA 19053-6047
(215) 364-8770
(215) 364-1792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP413261L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000885119
—
PA
01
—
3944976
ABP
—
Enumeration date
06/24/2005
Last updated
08/19/2011
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