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General NPI Number Information
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NPI Number | 1760815419
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Entity Type | Organization
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Legal Business Name | FUTURE MEDICAL SUPPLY & PHARMACY, LLC.
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 9831 BUSTLETON AVE SUITE 3
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City | PHILADELPHIA
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State | PA
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Zip | 19115-3200
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Country | US
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Telephone | 215-437-7775
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Fax | 215-538-3114
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Provider Business Mailing Address
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Address Line | 9831 BUSTLETON AVE SUITE 3
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City | PHILADELPHIA
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State | PA
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Zip | 19115-3200
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Country | US
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Telephone | 215-437-7775
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Fax | 215-538-3114
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Authorized Official
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Title or Position | PRESIDENT / MANAGER
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Name | ARTHUR KILIMNIK
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Credential |
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Telephone | 215-437-7775
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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 | PP482416
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License Number State | PA
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