Individual
ALEX N LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 S 8TH ST, PHILADELPHIA, PA 19147-2820
(215) 592-1668
Mailing address
819 S 8TH ST, PHILADELPHIA, PA 19147-2820
(215) 592-1668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040650L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103140788
—
PA
Enumeration date
07/11/2017
Last updated
07/21/2022
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