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General NPI Number Information
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NPI Number | 1083994925
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Entity Type | Organization
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Legal Business Name | TIMI PHARMACEUTICALS INC
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 6555 GREENE ST STE 3
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City | PHILADELPHIA
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State | PA
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Zip | 19119-4040
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Country | US
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Telephone | 215-848-0500
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Fax | 215-848-0510
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Provider Business Mailing Address
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Address Line | 6555 GREENE ST STE 3
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City | PHILADELPHIA
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State | PA
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Zip | 19119-4040
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Country | US
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Telephone | 347-574-4754
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IDAYAT ADEWUNMI
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Credential |
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Telephone | 347-574-4754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482192
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License Number State | PA
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