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General NPI Number Information
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NPI Number | 1568491124
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Entity Type | Organization
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Legal Business Name | WALNUT HOME THERAPEUTICS, INC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3500 HORIZON DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2659
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Country | US
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Telephone | 215-955-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 HORIZON DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2659
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Country | US
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Telephone | 215-955-5200
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Fax |
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Authorized Official
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Title or Position | MEMBER BOARD OF DIRECTORS
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Name | BRIAN G SWIFT
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Credential |
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Telephone | 215-955-1900
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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 | PP414792-L
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PP414792-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | PP414792-L
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License Number State | PA
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