Individual
AILI LABIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3400 SPRUCE ST, RAVDIN 1, PHILADELPHIA, PA 19104-4206
(215) 662-2920
Mailing address
2300 N 50TH ST, PHILADELPHIA, PA 19131-2401
(215) 878-0134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP024469L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP024469L
RPH STATE LICENSE NUMBER
PA
Enumeration date
03/04/2008
Last updated
03/04/2008
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