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General NPI Number Information
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NPI Number | 1992715551
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Entity Type | Organization
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Legal Business Name | GIRARD FAMILY PHARMACY
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 4947 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-2643
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Country | US
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Telephone | 215-537-5000
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Fax | 215-537-8803
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Provider Business Mailing Address
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Address Line | 4947 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-2643
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Country | US
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Telephone | 215-537-5000
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Fax | 215-537-8803
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. UCHENNA UMEWENI
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Credential | RPH
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Telephone | 215-537-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PP415059L
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License Number State | PA
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