Individual
MRS. DEBRA ANNE DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 RHAWN ST, PHILADELPHIA, PA 19111-2801
(215) 342-1445
Mailing address
8428 LARGE ST, PHILADELPHIA, PA 19152-1905
(215) 801-1538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038912L
PA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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