Individual
JAMIE AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 LOCUST ST, PHILADELPHIA, PA 19107-5414
(215) 772-2772
Mailing address
1227 LOCUST ST, PHILADELPHIA, PA 19107-5414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454690
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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