TINA M SMALL

PHILADELPHIA, PA
NPI1073783080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP041390L)
Additional Taxonomies183500000X Pharmacist
(Licence: NJ  RI26065)
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
TINA M SMALL R.PH.
3400 SPRUCE ST RAVDIN1
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2920
Mailing Address
TINA M SMALL R.PH.
189 PICKET POST LN
PHOENIXVILLE, PA 19460-5619
Phone number: 610-933-7856