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General NPI Number Information
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NPI Number | 1699932855
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Entity Type | Organization
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Legal Business Name | NESHAMINY PHARMACY LLC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 5417 NESHAMINY BLVD
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City | BENSALEM
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State | PA
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Zip | 19020-1782
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Country | US
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Telephone | 215-757-4557
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Fax | 215-757-4559
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Provider Business Mailing Address
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Address Line | 1582 CLARK DR
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City | YARDLEY
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State | PA
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Zip | 19067-4375
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Country | US
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Telephone | 267-210-9795
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Fax | 215-493-6006
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Authorized Official
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Title or Position | PIC
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Name | ILHAMA ANZABI
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Credential |
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Telephone | 267-210-9795
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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 | PP481835
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License Number State | PA
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