Individual
AJAY PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 W ALLEGHENY AVE, PHILADELPHIA, PA 19132-1420
(215) 223-8979
Mailing address
2201 W ALLEGHENY AVE, PHILADELPHIA, PA 19132-1420
(215) 223-8979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP444907
PA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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