Individual
DR. PERIS GATHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 897-4471
Mailing address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 897-4471
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
22067
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6151462
BOARD OF PHARMACY SPECIALTIES
DC
Enumeration date
05/31/2019
Last updated
05/31/2019
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