Individual
AIDA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11750 BUSTLETON AVE, PHILADELPHIA, PA 19116-2516
(215) 934-6221
Mailing address
11750 BUSTLETON AVE, PHILADELPHIA, PA 19116-2516
(215) 934-6221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP455102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPI014198
LISCENSE NUMBER
PA
Enumeration date
06/18/2021
Last updated
12/06/2021
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