Provider Demographics
NPI:1053998070
Name:PHARMACY OF AMERICA VIII INC
Entity type:Organization
Organization Name:PHARMACY OF AMERICA VIII INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SABRI
Authorized Official - Middle Name:ZAIDAN
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:267-237-1188
Mailing Address - Street 1:1300 CHELTENHAM DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4380
Mailing Address - Country:US
Mailing Address - Phone:267-237-1188
Mailing Address - Fax:257-440-0333
Practice Address - Street 1:7522 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-3533
Practice Address - Country:US
Practice Address - Phone:215-914-6911
Practice Address - Fax:267-703-5705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy