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Organization

PHILADELPHIA CHEMOCAP HAIR STORE

Active
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Organization

PHILADELPHIA CHEMOCAP HAIR STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LOIS MARIE ARNOLD COSMETOLOGIST (OWNER)
(215) 922-2119
Entity
Organization

Contact information

Practice address
766 S 4TH ST, PHILADELPHIA, PA 19147-3137
(215) 922-2119
(215) 922-2245
Mailing address
766 S 4TH ST, PHILADELPHIA, PA 19147-3137
(215) 922-2119
(215) 922-2245

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
3702178204
PA

Other

Enumeration date
10/29/2010
Last updated
10/29/2010
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