Individual
ALI SHAHBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2131 N BROAD ST, PHILADELPHIA, PA 19122-1105
(215) 236-2297
Mailing address
1221 ORIOLE DR, BENSALEM, PA 19020-4409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453697
PA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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