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Jaleh Shahriari Llc
Pharmacy in Philadelphia, Pennsylvania
NPI 1952611709

Jaleh Shahriari Llc is a Pharmacy based in Philadelphia, PA. Jaleh Shahriari Llc practices in Philadelphia, PA. The NPI Number for Jaleh Shahriari Llc is 1952611709 and holds a License No. (Pennsylvania).

The current practice location address for Jaleh Shahriari Llc is 12043 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-613-8065 and via fax at 215-613-8074.

Location: 12043 Bustleton Ave, Philadelphia, PA, 19116-2107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952611709
Provider Name
Jaleh Shahriari Llc
Credential
Provider Entity Type
Organization
Address
12043 Bustleton Ave, Philadelphia, PA, 19116-2107
Phone Number
215-613-8065
Fax Number
215-613-8074
Provider Enumeration Date
10/14/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1025183450001 05 PA
institution
Provider Business Practice Location Address Details
Address
12043 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19116-2107
Phone Number
215-613-8065
Fax Number
215-613-8074
person
Provider Business Mailing Address Details
Address
12043 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19116-2107
Phone Number
215-613-8065
Fax Number
215-613-8074
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
(Pennsylvania)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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