Individual
BAASIT TALEBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MIFFLIN ST, PHILADELPHIA, PA 19148-2017
(215) 463-3301
Mailing address
1 MIFFLIN ST, PHILADELPHIA, PA 19148-2017
(215) 463-3301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456459
PA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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