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General NPI Number Information
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NPI Number | 1013050681
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Entity Type | Organization
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Legal Business Name | ARIA HEALTH PHARMACY
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | KNIGHTS & RED LION RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-4949
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Fax | 215-612-5412
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Provider Business Mailing Address
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Address Line | KNIGHTS & RED LION RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-4949
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Fax | 215-612-5412
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JAMES J GRADY
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Credential | R.PH.
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Telephone | 215-612-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HP418298L
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License Number State | PA
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