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Individual

MISS DIANE ELIZABETH HADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
1735 CHESTNUT ST, PHILADELPHIA, PA 19103-4125
(609) 276-2123

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
20179
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP444708
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20179
MD STATE BOARD OF PHARMACY
MD
01
RP444708
PHARMACY LICENSE
PA
Enumeration date
06/30/2010
Last updated
09/19/2012
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