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Organization

TRUONG THO, LLC

Active
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Organization

TRUONG THO, LLC

Active
Other names
LIVE WELL PHARMACY @ RISING SUN
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN LUU (PRESIDENT)
(215) 821-2883
Entity
Organization

Contact information

Practice address
5805 RISING SUN AVE, PHILADELPHIA, PA 19120-1125
(215) 821-2883
(215) 821-2708
Mailing address
5805 RISING SUN AVE, PHILADELPHIA, PA 19120-1125
(215) 821-2883
(215) 821-2708

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104464726-0001
PA
Enumeration date
11/08/2024
Last updated
04/29/2025
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