MEDICARE: JAMSHID B TEHRANI 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
1	183500000X	Pharmacist	RP028768L	PA
2	1835P2201X	Ambulatory Care Pharmacist	RP028768L	PA

General Provider Information

NPI Number	:	1275082612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMSHID B TEHRANI RPH

Provider Business Mailing Address
First Line	:	6519 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2538
Country	:	US
Telephone Number	:	215-624-4224
Fax Number	:	215-624-4416

Provider Business Practice Location Address
First Line	:	6519 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2538
Country	:	US
Telephone Number	:	215-624-4224
Fax Number	:	215-624-4416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2016
Last Update Date	:	09/27/2016

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Directions to “ JAMSHID B TEHRANI RPH” Practice Location

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