Individual
HASIBA MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 CASTOR AVE, PHILADELPHIA, PA 19149-2708
(215) 535-2800
Mailing address
6515 CASTOR AVE, PHILADELPHIA, PA 19149-2708
(215) 535-2800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448231
PA
Other
Enumeration date
08/10/2014
Last updated
10/07/2016
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