Organization
ROOSEVELT PHARMACY LLC
Active
Other names
Roosevelt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED BACHIR PHARMD (OWNER)
(267) 817-7717
Entity
Organization
Contact information
Practice address
2600 COTTMAN AVE, PHILADELPHIA, PA 19149-1301
(732) 900-9852
Mailing address
2600 COTTMAN AVE, PHILADELPHIA, PA 19149-1301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
05/05/2023
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