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NPI Code Detail

MEDICARE: AHMAD TALEBI RPH

MEDICARE: AHMAD TALEBI RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP040388LPA

General Provider Information

NPI Number : 1104570779
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD TALEBI RPH
Provider Business Mailing Address
First Line : 7339 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-3929
Country : US
Telephone Number : 215-331-2100
Fax Number :
Provider Business Practice Location Address
First Line : 7339 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-3929
Country : US
Telephone Number : 215-331-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2022
Last Update Date : 02/11/2022

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Directions to “ AHMAD TALEBI RPH” Practice Location

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