Organization
E-GLAM INC
Active
Parent organization
E-GLAM INC
Other names
e-glam pharmacy II
Organization subpart
Yes
Provider details
NPI number
Legal business name
E-GLAM INC
Authorized official
MR. INYANG INYANG PHARM.D (PRESIDENT)
(215) 763-1405
Entity
Organization
Contact information
Practice address
1412 W SUSQUEHANNA AVE, PHILADELPHIA, PA 19121-1684
(215) 763-1405
(215) 232-1878
Mailing address
1412 WEST SUSQUEHANNA AVENUE, PHILADELPHIA, PA 19122
(215) 763-1405
(215) 232-1878
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482026
PA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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