Individual
AHMED ANSARY MOFTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 W TILGHMAN ST, ALLENTOWN, PA 18102-2519
(610) 351-5041
Mailing address
161 W TILGHMAN ST, ALLENTOWN, PA 18102-2519
(610) 351-5041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP483030
PA
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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