Individual
ALEXIS IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BALTIMORE PIKE, SPRINGFIELD, PA 19064-3628
(610) 259-7850
Mailing address
275 LEMONTE ST, PHILADELPHIA, PA 19128-4519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP457786
PA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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