Individual
ANGEL MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 E WASHINGTON LN, PHILADELPHIA, PA 19138-1047
(215) 549-0555
Mailing address
32 GELDER DR, HOLLAND, PA 18966-2311
(215) 791-4892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454077
PA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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