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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