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General NPI Number Information
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NPI Number | 1609160688
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Entity Type | Organization
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Legal Business Name | WELLAID INC.
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 21 S COBBS CREEK PKWY
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City | PHILADELPHIA
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State | PA
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Zip | 19139-2918
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Country | US
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Telephone | 215-472-5000
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Fax | 215-472-5200
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Provider Business Mailing Address
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Address Line | 21 S COBBS CREEK PKWY
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City | PHILADELPHIA
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State | PA
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Zip | 19139-2918
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Country | US
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Telephone | 215-472-5000
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Fax | 215-472-5200
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAKHAN LAL KACHROO
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Credential |
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Telephone | 215-472-5000
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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 | PP482142
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License Number State | PA
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