Organization
MT AIRY FAMILY PHARMACY
Active
Organization
MT AIRY FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLALEKAN ABIFARIN PHARM D,CPH (PHARMACY MANAGER/CO-OWNER)
(215) 242-3814
Entity
Organization
Contact information
Practice address
5715 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2136
(215) 242-3814
(215) 242-3818
Mailing address
5715 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2136
(215) 242-3814
(215) 242-3818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP482089
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP482089
PA
Other
Enumeration date
01/19/2011
Last updated
04/26/2012
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