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Individual

JALEH SHAHRIARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8850 FRANKFORD AVE, PHILADELPHIA, PA 19136-1313
(215) 624-4061
Mailing address
697 BOBWHITE LN, HUNTINGDON VALLEY, PA 19006-2117
(215) 947-5975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02236700
NJ
183500000X
Pharmacist
Primary
RP039196L
PA

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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