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General NPI Number Information
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NPI Number | 1003058884
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Entity Type | Organization
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Legal Business Name | ROYAL DRUGS
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 5936 LANSDOWNE AVE
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City | PHILA
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State | PA
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Zip | 19151-4227
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Country | US
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Telephone | 215-477-8290
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Fax |
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Provider Business Mailing Address
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Address Line | 5936 LANSDOWNE AVE
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City | PHILA
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State | PA
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Zip | 19151-4227
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Country | US
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Telephone | 215-477-8290
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADEYINKA TUKUNBO ADEBAMRIO
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Credential | PHARM.D
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Telephone | 267-934-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481918
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License Number State | PA
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