Organization
PHILARX PHARMACY INC
Active
Other names
PHILARX PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
HAFIZ EBADY PHD (OWNER)
(215) 880-7905
Entity
Organization
Contact information
Practice address
7624 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
(215) 224-5411
(215) 224-5416
Mailing address
2300 S BROAD ST, PHILADELPHIA, PA 19145-4461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019571600001
—
PA
01
—
3982077
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2006
Last updated
06/01/2009
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