MEDICARE: DR. WICHITAH PRASOEU LENG PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RP441711	PA

General Provider Information

NPI Number	:	1033455464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WICHITAH PRASOEU LENG PHARMD

Provider Business Mailing Address
First Line	:	1010 W LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1640
Country	:	US
Telephone Number	:	267-273-7000
Fax Number	:	267-273-7057

Provider Business Practice Location Address
First Line	:	1010 W LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1640
Country	:	US
Telephone Number	:	267-273-7000
Fax Number	:	267-273-7057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2012
Last Update Date	:	12/12/2012

Similar Medicare Providers

1265424642 — DR. KIMTY TAN D.M.D
Practice Location Address:

1018 W LEHIGH AVE
PHILADELPHIA, PA
19133-1640

Practice Phone: 215-227-1881
Practice Fax:

1962465674 — HEIDI J SYROPOULOS M.D.
Practice Location Address:

1010 W LEHIGH AVE
PHILADELPHIA, PA
19133-1640

Practice Phone: 267-273-7000
Practice Fax: 267-273-7056

1811933559 — SARAH E. FARRELL CRNP
Practice Location Address:

1010 W LEHIGH AVE
PHILADELPHIA, PA
19133-1640

Practice Phone: 267-273-7000
Practice Fax: 267-273-7057

1003954488 — WYCOMBE PHARMACY INC.
Practice Location Address:

1006 W LEHIGH AVE
PHILADELPHIA, PA
19133-1640

Practice Phone: 215-225-7522
Practice Fax: 215-225-7525

1184762544 — MR. PAUL CARMEN SCOTA R.PH.
Practice Location Address:

1006 W LEHIGH AVE
PHILADELPHIA, PA
19133-1640

Practice Phone: 215-225-7522
Practice Fax: 215-225-7525

1972971844 — MRS. DIANE T FREDERICK FNP-C
Practice Location Address:

1010 W LEHIGH AVE
PHILADELPHIA, PA
19133-1640

Practice Phone: 267-273-7000
Practice Fax:

Directions to “ DR. WICHITAH PRASOEU LENG PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.