Organization
PHILARX PHARMACY 1 INC
Active
Other names
Philarx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAFIZ EBADY (CEO)
(215) 880-7905
Entity
Organization
Contact information
Practice address
1742 SOUTH STREET, PHILADELPHIA, PA 19146
(267) 324-5231
Mailing address
418 SOUTH ST, PHILADELPHIA, PA 19147-1535
(215) 880-7905
(215) 224-5416
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481863
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3991583
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2009
Last updated
01/06/2012
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