Individual
EFREM HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 N 63RD ST, PHILADELPHIA, PA 19151-3209
(215) 879-1663
(215) 877-4696
Mailing address
1105 N 63RD ST, PHILADELPHIA, PA 19151-3209
(215) 879-1663
(215) 877-4696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PA042380L
PA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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