MEDICARE: NEFF DRUGS 30 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1134077332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEFF DRUGS 30 LLC

Provider Business Mailing Address
First Line	:	142 S 52ND ST # 201
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3409
Country	:	US
Telephone Number	:	215-471-4000
Fax Number	:	215-471-4001

Provider Business Practice Location Address
First Line	:	142 S 52ND ST # 201
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3409
Country	:	US
Telephone Number	:	215-471-4000
Fax Number	:	215-471-4001

Authorized Official
Title or Position	:	MEMBER
Name	:	JIMMY LUU
Credential	:
Telephone Number	:	215-425-7700

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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