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General NPI Number Information
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NPI Number | 1639150154
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Entity Type | Organization
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Legal Business Name | FRIENDSHIP PHARMACY INC
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 3300 COTTMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-1601
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Country | US
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Telephone | 215-624-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 COTTMAN AVE 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19149-1601
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Country | US
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Telephone | 215-624-0606
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | MR. FRANK R RUBINO
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Credential | R.PH.
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Telephone | 215-624-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP481412
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License Number State | PA
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