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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