Individual
AISHA DARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6008 W THOMPSON ST, PHILADELPHIA, PA 19151-4436
(267) 531-7724
Mailing address
6008 W THOMPSON ST, PHILADELPHIA, PA 19151-4436
(267) 531-7724
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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