Organization
MAAF CORP
Active
Other names
NORTHEAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IHSANULLAH MAAF (OWNER)
(215) 771-7026
Entity
Organization
Contact information
Practice address
6730 BUSTLETON AVE, PHILADELPHIA, PA 19149-2301
(215) 771-7026
(215) 333-0110
Mailing address
9867 COWDEN ST, PHILADELPHIA, PA 19115-2314
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481838
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3990404
OTHER ID NUMBER
—
Enumeration date
05/15/2008
Last updated
06/10/2008
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