Individual
MR. FREDRIC MIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2014 S BROAD ST, PHILA, PA 19145-2305
(215) 551-3818
Mailing address
2014 S BROAD ST, PHILA, PA 19145-2305
(215) 551-3818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033074L
PA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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