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General NPI Number Information
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NPI Number | 1891187290
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Entity Type | Organization
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Legal Business Name | NEFF DRUGS 31 LLC
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 825 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-2401
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Country | US
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Telephone | 215-425-7700
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Fax | 215-425-7600
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Provider Business Mailing Address
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Address Line | 825 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-2401
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Country | US
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Telephone | 215-425-7700
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Fax | 215-425-7600
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JIMMY LUU
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Credential | RPH
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Telephone | 215-425-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PP482540
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License Number State | PA
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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 | PP482540
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License Number State | PA
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