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General NPI Number Information
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NPI Number | 1558620773
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Entity Type | Organization
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Legal Business Name | MY PHARMACY LLC
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 20-24 N 40TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-222-1288
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Fax | 215-222-1211
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Provider Business Mailing Address
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Address Line | 20 N 40TH ST APT 24
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5635
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Country | US
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Telephone | 215-222-1288
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Fax | 215-222-1211
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Authorized Official
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Title or Position | OWNER/PHARMACIST-IN-CHARGE
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Name | SHIAN-WEN TU
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Credential | PHARMD
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Telephone | 215-222-1288
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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 | PP482267
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License Number State | PA
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