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General NPI Number Information
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NPI Number | 1770850448
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Entity Type | Organization
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Legal Business Name | NEW PHARMACY LLC
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Dates
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Enumeration Date | 11/25/2011
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 4835 WOODLAND AVE # 1
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4433
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Country | US
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Telephone | 215-883-0568
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Fax | 215-883-0635
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Provider Business Mailing Address
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Address Line | 4835 WOODLAND AVE STE 1
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4433
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Country | US
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Telephone | 215-883-0568
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | ADEBAYO ADENIRAN
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Credential |
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Telephone | 215-883-0568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482324
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License Number State | PA
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