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Organization

JALEH SHAHRIARI LLC

Active
Other names
FIRXST PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JALEH SHAHRIARI (OWNER)
(215) 613-8065
Entity
Organization

Contact information

Practice address
12043 BUSTLETON AVE, PHILADELPHIA, PA 19116-2107
(215) 613-8065
(215) 613-8074
Mailing address
12043 BUSTLETON AVE, PHILADELPHIA, PA 19116-2107
(215) 613-8065
(215) 613-8074

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025183450001
PA
Enumeration date
10/14/2010
Last updated
06/14/2022
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