Individual
MR. IRA GARY FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2 E STREET RD, FEASTERVILLE TREVOSE, PA 19053-7603
(215) 364-8770
(215) 364-1792
Mailing address
666 ARTWOOD DR, PHILADELPHIA, PA 19115-2807
(215) 673-1695
(215) 364-1792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP028967L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP028967L
PENNA STATE BOARD OF PHARMACY
PA
Enumeration date
09/20/2012
Last updated
09/20/2012
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