Organization
PHARMACY OF AMERICA III INC
Active
Organization
PHARMACY OF AMERICA III INC
Active
Other names
Pharmacy of America III
Organization subpart
No
Provider details
NPI number
Authorized official
SABRI IBRAHIM PHARM D. (PRESIDENT/CEO)
(267) 237-1188
Entity
Organization
Contact information
Practice address
217 W LEHIGH AVE, STORE #2, PHILADELPHIA, PA 19133-3421
(215) 279-7981
(267) 687-7662
Mailing address
4654 N 5TH ST, PHILADELPHIA, PA 19140-1420
(215) 744-0300
(215) 744-0333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026939530001
—
PA
01
—
2133846
PK
—
Enumeration date
02/14/2012
Last updated
05/03/2019
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