=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376677088
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEFF DRUGS II LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/15/2007
-----------------------------------------------------
Last Update Date | 03/06/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 S 60TH ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19139-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-474-4550
-----------------------------------------------------
Fax | 215-474-4551
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 S 60TH ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19139-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-474-4550
-----------------------------------------------------
Fax | 215-474-4551
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANG
-----------------------------------------------------
Name | JIMMY LUU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-425-5800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PP481696
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------