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Organization

COUZINS ENTERPRISES, LLC

Active
Other names
Patriot Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SHAI FELLAH (MEMBER)
(267) 800-7087
Entity
Organization

Contact information

Practice address
2951 N 22ND ST, PHILADELPHIA, PA 19132-1505
(267) 800-7087
(267) 800-7901
Mailing address
2951 N 22ND ST, PHILADELPHIA, PA 19132-1505
(267) 800-7087
(267) 800-7901

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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