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Lenny Fox

Pharmacist in Philadelphia, PA. Individual provider (NPI-1).

NPI number1629601943
StatusActive
Last updated in NPPESFeb 14, 2020

Details

NPI
1629601943
Entity type
Individual (NPI-1)
Name
Lenny Fox
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2020
Certification date
Feb 14, 2020
Last updated
Feb 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRp439481PAYes

Practice location

10875 Bustleton Ave
Philadelphia, PA 19116-3301

Phone 215-673-0994

Mailing address

10875 Bustleton Ave
Philadelphia, PA 19116-3301

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