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General NPI Number Information
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NPI Number | 1861867046
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Entity Type | Organization
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Legal Business Name | EMPIRE PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 375 E ELM ST STE 110D
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1973
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Country | US
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Telephone | 484-365-2600
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Fax | 484-365-2602
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Provider Business Mailing Address
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Address Line | 375 E ELM ST STE 110D
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1973
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Country | US
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Telephone | 484-365-2600
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Fax | 484-365-2602
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | JULIETTA LEUNG
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Credential |
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Telephone | 484-365-2600
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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 | PA2086
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License Number State | KY
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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 | A9-0001829
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RP-0003165-CS
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2016017571
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 14800/7.1
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1664-43
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 9741909-1708
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License Number State | UT
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Taxonomy #8
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 60636419
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 41608MS
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License Number State | ID
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Taxonomy #10
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 64002081A
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License Number State | IN
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Taxonomy #11
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RO00137100
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License Number State | NJ
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Taxonomy #12
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054019891
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License Number State | IL
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Taxonomy #13
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP482616
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License Number State | PA
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Taxonomy #14
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0000005780
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License Number State | TN
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Taxonomy #15
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | Y006842
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License Number State | AZ
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