Individual
EVARISTO RECINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3119
(215) 426-0956
Mailing address
1809 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3119
(215) 426-0956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP440324
PA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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