Individual
CAROL LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
819 S 8TH ST, PHILADELPHIA, PA 19147-2871
(215) 592-8888
(215) 592-9888
Mailing address
819 S 8TH ST, PHILADELPHIA, PA 19147-2871
(215) 592-8888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452603
PA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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