Organization
LUU DRUG STORES LLC
Active
Other names
LIVE WELL PHARMACY @ RISING SUN
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRUONG LUU RPH (PHARMACY OWNER)
(610) 761-6625
Entity
Organization
Contact information
Practice address
5805 RISING SUN AVE, PHILADELPHIA, PA 19120-1125
(215) 821-2883
(215) 821-2708
Mailing address
3811 SCHOOL LN, DREXEL HILL, PA 19026-3113
(610) 626-4549
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482298
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027532470001
—
PA
01
—
2136709
PK
—
Enumeration date
08/28/2012
Last updated
11/12/2014
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