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Individual

ESIN KADIEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA VA MEDICAL CENTER, PHILADELPHIA, PA 19104
(215) 823-5228
(215) 823-4407
Mailing address
836 AUBREY AVE, ARDMORE, PA 19003-2002
(570) 460-6236

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP443166
PA

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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