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General NPI Number Information
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NPI Number | 1134659659
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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 | 06/18/2017
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Last Update Date | 06/18/2017
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Provider Practice Location Address
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Address Line | 6555 GREENE ST SUITE #3
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City | PHILADELPHIA
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State | PA
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Zip | 19119-4051
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Country | US
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Telephone | 215-848-0512
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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 SUITE #3
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City | PHILADELPHIA
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State | PA
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Zip | 19119-4051
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Country | US
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Telephone | 215-848-0512
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Fax | 215-848-0510
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Authorized Official
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Title or Position | OWNER
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Name | IDAYAT ADEWUNMI
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Credential |
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Telephone | 347-547-4754
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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 | 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 #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP482192
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License Number State | PA
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