Individual
EGLA HAXHAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 GRANT AVE, PHILADELPHIA, PA 19114-2227
(215) 464-8140
Mailing address
2550 GRANT AVE, PHILADELPHIA, PA 19114-2227
(215) 464-8140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452339
PA
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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