MEDICARE: PHARMACY PARTNERSHIP 1 INC

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	333600000X	Pharmacy	PP481861	PA

General Provider Information

NPI Number	:	1851538763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY PARTNERSHIP 1 INC

Provider Business Mailing Address
First Line	:	1732 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2330
Country	:	US
Telephone Number	:	215-880-7905
Fax Number	:

Provider Business Practice Location Address
First Line	:	1732 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2330
Country	:	US
Telephone Number	:	215-880-7905
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	HAFIZ EBADY
Credential	:
Telephone Number	:	215-880-7905

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/14/2009

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Directions to “PHARMACY PARTNERSHIP 1 INC ” Practice Location

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