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Individual

AMANY FARID MANSOUR-AWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
829 SPRUCE ST, SUITE 100, PHILADELPHIA, PA 19107-5752
(855) 790-0100
(267) 861-0862
Mailing address
829 SPRUCE ST, SUITE 100, PHILADELPHIA, PA 19107-5752
(855) 790-0100
(267) 861-0862

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038763L
PA

Other

Enumeration date
02/07/2013
Last updated
02/07/2013
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