Individual
ANDREW LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1046 MARKET ST, PHILADELPHIA, PA 19107-4205
(215) 592-1543
Mailing address
1100 VINE ST APT 500, PHILADELPHIA, PA 19107-1733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456056
PA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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