Individual
ETHAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 615-7256
Mailing address
1813 N HOWARD ST APT 602, PHILADELPHIA, PA 19122-2445
(413) 335-7020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP460184
PA
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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