Long Lieu
Pharmacist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1710691803
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1710691803
- Entity type
- Individual (NPI-1)
- Name
- Long Lieu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2023
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP457431 | PA | Yes |
Practice location
5040 City Line AvePhiladelphia, PA 19131-1435
Phone 215-877-2116 · Fax 215-877-5064
Mailing address
327 W Earlham TerPhiladelphia, PA 19144-3919
Phone 215-605-7303
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