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General NPI Number Information
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NPI Number | 1255705216
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Entity Type | Organization
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Legal Business Name | YN PHARMACY LLC
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 801-21 WASHINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4716
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Country | US
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Telephone | 484-557-1671
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Fax |
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Provider Business Mailing Address
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Address Line | 801-21 WASHINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4716
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Country | US
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Telephone | 484-557-1671
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | ALEX N LUONG
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Credential | RPH
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Telephone | 484-557-1671
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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 |
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License Number State |
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