Individual
HAIDEMENI TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
46 N PRESTWICK CT, DOVER, DE 19904-2333
(302) 730-0263
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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