Organization
MMR GROUP
Active
Other names
26th & lehigh pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAZEL GEBREHANA (PHARMACY OWNER)
(267) 687-2702
Entity
Organization
Contact information
Practice address
2602 W LEHIGH AVE, PHILADELPHIA, PA 19132-3120
(267) 687-2702
(267) 687-2707
Mailing address
2602 W LEHIGH AVE, PHILADELPHIA, PA 19132-3120
(267) 687-2702
(267) 687-2707
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026387550001
—
PA
Enumeration date
08/26/2011
Last updated
05/07/2025
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