Healthcare Provider Details

I. General information

NPI: 1437475472
Provider Name (Legal Business Name): ALLA ZILBERMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 05/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 EASTON RD RITE AID PHARMACY
ROSLYN PA
19001-3889
US

IV. Provider business mailing address

1321 EASTON RD RITE AID PHARMACY, ROSLYN SHOPPING CENTER
ROSLYN PA
19001-3889
US

V. Phone/Fax

Practice location:
  • Phone: 215-886-8509
  • Fax: 215-886-4633
Mailing address:
  • Phone: 215-886-8509
  • Fax: 215-886-4633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP437685
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: