Individual
ABIEMWENSE IYAMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 WINDRIM AVE, PHILADELPHIA, PA 19141-2725
(862) 215-5133
Mailing address
1334 WINDRIM AVE, PHILADELPHIA, PA 19141-2725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453566
PA
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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