Individual provider · Type 1 NPI

Miriam Datikashvili, PharmD

Pharmacist · Philadelphia, PA

NPI number 1295040509 Active

Practice location

3200 Red Lion Rd
Philadelphia, PA 19114-1129

Mailing address

476 Depue Pl
Philadelphia, PA 19116-2006

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP441275 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1295040509

Miriam Datikashvili, PharmD's National Provider Identifier is 1295040509, issued on Aug 11, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 11, 2010.