Individual
DIVYA ANNA SHAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GORMAN ST, PHILADELPHIA, PA 19116-3606
(267) 444-3735
Mailing address
701 GORMAN ST, PHILADELPHIA, PA 19116-3606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP460163
PA
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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