Organization
MOIN & SIRAJ GROUP PHARMACY INC
Active
Organization
MOIN & SIRAJ GROUP PHARMACY INC
Active
Other names
Qrx3 Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
SYED HASAN (PRESIDENT)
(267) 809-2396
Entity
Organization
Contact information
Practice address
962 E TIOGA ST, PHILADELPHIA, PA 19134-1307
(267) 606-6363
(267) 606-6569
Mailing address
962 E TIOGA ST, PHILADELPHIA, PA 19134-1307
(267) 606-6363
(267) 606-6569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482688
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166354
PK
—
Enumeration date
11/04/2016
Last updated
04/13/2017
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