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NPI 1932621984

NPI 1932621984 : LANSDOWNE COMMUNITY PHARMACY INC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1932621984
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    Entity Type          |    Organization 
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    Legal Business Name  |    LANSDOWNE COMMUNITY PHARMACY INC 
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Dates
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    Enumeration Date     |    07/12/2017
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    Last Update Date     |    07/12/2017
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Provider Practice Location Address
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    Address Line         |    5936 LANSDOWNE AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19151-4227
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    Country              |    US
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    Telephone            |    201-893-3368
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2916 N 5TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19133-2801
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    Country              |    US
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    Telephone            |    267-457-3222
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    Fax                  |    267-457-3225
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     UMESH  PATEL 
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    Credential           |    
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    Telephone            |    484-274-5428
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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       |    
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    License Number State |    
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