Individual
IDREES HAZZAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3000
Mailing address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/03/2021
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