LONG LIEU

PHILADELPHIA, PA
NPI1710691803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP457431)
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
LONG LIEU
5040 CITY LINE AVE
PHILADELPHIA, PA 19131-1435
Phone number: 215-877-2116
Mailing Address
LONG LIEU
327 W EARLHAM TER
PHILADELPHIA, PA 19144-3919
Phone number: 215-605-7303
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