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NPI 1104206382

NPI 1104206382 : SOLVENCY HEALTH LLC : BALA CYNWYD, PA

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General NPI Number Information
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    NPI Number           |    1104206382
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLVENCY HEALTH LLC 
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Dates
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    Enumeration Date     |    06/03/2015
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    7 BALA AVE STE 100 
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    City                 |    BALA CYNWYD
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    State                |    PA
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    Zip                  |    19004-3205
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    Country              |    US
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    Telephone            |    610-713-5661
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    Fax                  |    610-713-5720
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Provider Business Mailing Address
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    Address Line         |    7 BALA AVE STE 100 
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    City                 |    BALA CYNWYD
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    State                |    PA
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    Zip                  |    19004-3205
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    Country              |    US
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    Telephone            |    610-713-5661
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    Fax                  |    610-713-5720
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     IGDALIAH  JACKSON 
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    Credential           |    
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    Telephone            |    610-333-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    3336M0002X
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    Taxonomy Name        |    Mail Order Pharmacy
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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        |    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 #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PP482558
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    License Number State |    PA
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