MEDICARE: NEFF DRUGS 6 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	3336C0003X	Community/Retail Pharmacy	PP481813	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PP481813	OTHER	PA	PA PHARMACY PERMIT

General Provider Information

NPI Number	:	1659544609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEFF DRUGS 6 LLC

Provider Business Mailing Address
First Line	:	5006 BALTIMORE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3302
Country	:	US
Telephone Number	:	215-748-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5006 BALTIMORE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3302
Country	:	US
Telephone Number	:	215-748-1000
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. MARC TANCREDI
Credential	:
Telephone Number	:	215-748-1000

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	04/10/2008

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Directions to “NEFF DRUGS 6 LLC ” Practice Location

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