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General NPI Number Information
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NPI Number | 1356152409
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Entity Type | Organization
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Legal Business Name | PRIMOS PHARMACY
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 4101 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2613
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Country | US
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Telephone | 215-337-2987
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Fax | 215-330-2158
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Provider Business Mailing Address
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Address Line | 4101 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2613
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Country | US
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Telephone | 215-337-2987
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Fax | 215-330-2158
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAMAD FROUKH
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Credential |
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Telephone | 267-266-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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