Organization
NEW GIRARD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASUD QURESHI (PHARMACIST MANAGER)
(215) 386-1594
Entity
Organization
Contact information
Practice address
4000 W GIRARD AVE, PHILADELPHIA, PA 19104-1032
(215) 386-1594
Mailing address
4000 W GIRARD AVE, PHILADELPHIA, PA 19104-1032
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP-415198-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19016254550001
—
PA
Enumeration date
04/08/2007
Last updated
08/22/2020
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