Organization
RIAZ U RAHMAN
Active
Other names
GETWELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RIAZ RAHMAN (OWNER)
(215) 457-5555
Entity
Organization
Contact information
Practice address
4511 N 5TH ST, PHILADELPHIA, PA 19140-2309
(215) 457-5555
(215) 457-8340
Mailing address
4511 N 5TH ST, PHILADELPHIA, PA 19140-2309
(215) 457-5555
(215) 457-8340
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413665L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084799
PK
—
05
—
998121
—
PA
Enumeration date
04/25/2007
Last updated
01/08/2016
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