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General NPI Number Information
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NPI Number | 1477035533
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Entity Type | Organization
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Legal Business Name | ASPN PHARMACIES 2 LLC
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 4850 E STREET RD STE 400
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City | TREVOSE
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State | PA
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Zip | 19053-6600
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Country | US
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Telephone | 973-564-8004
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 E STREET RD STE 400
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City | TREVOSE
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State | PA
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Zip | 19053-6600
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Country | US
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Telephone | 973-564-8004
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Fax | 866-581-1351
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ALBERTO L SILVA
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Credential | RPH
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Telephone | 973-564-8004
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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 | 24680305
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License Number State | PA
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