Provider Demographics
NPI:1427823053
Name:ELARCHI, ILHAM
Entity type:Individual
Prefix:
First Name:ILHAM
Middle Name:
Last Name:ELARCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 COTTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3644
Mailing Address - Country:US
Mailing Address - Phone:215-770-7869
Mailing Address - Fax:
Practice Address - Street 1:1000 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3644
Practice Address - Country:US
Practice Address - Phone:215-770-7869
Practice Address - Fax:717-323-1692
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist