Individual
ANITA AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 LOCUST ST, PHILADELPHIA, PA 19107-5519
(215) 629-5690
Mailing address
1101 LOCUST ST, PHILADELPHIA, PA 19107-5519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03682000
NJ
183500000X
Pharmacist
RP449282
PA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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