Individual
MR. AMOL PRAKASH WAGHMARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 SUMNEYTOWN PIKE, SPRING HOUSE, PA 19477-1008
(215) 646-5059
Mailing address
159 BARRY AVE, LANSDALE, PA 19446-6616
(540) 250-2451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441636
PA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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