Organization
E-GLAM INC
Active
Other names
E-Glam Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
INYANG INYANG (OWNER)
(215) 849-4272
Entity
Organization
Contact information
Practice address
746 E CHELTEN AVE, PHILADELPHIA, PA 19144-1207
(215) 849-4272
(267) 331-8641
Mailing address
746 E CHELTEN AVE, PHILADELPHIA, PA 19144-1207
(215) 849-4272
(267) 331-8641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022445180001
—
PA
01
—
2117398
PK
—
Enumeration date
10/10/2008
Last updated
01/28/2016
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