Active NPIIndividual provider

Wan So

Pharmacist in Mount Ephraim, New Jersey

NPI Number1548858004
Practice location
24 S Black Horse Pike, Mount Ephraim, NJ 08059-1321
Fax
—
Last updated
January 8, 2021

Wan So is a Pharmacist based in Mount Ephraim, NJ. Wan So practices in Mount Ephraim, NJ. The NPI Number for Wan So is 1548858004 and holds a License No. RP451430 (PA). The current practice location address for Wan So is 24 S Black Horse Pike, Mount Ephraim, NJ 08059-1321 and can be reached out via phone at 215-606-8291.

Provider Profile Details

NPI Number
1548858004
Provider Name
Wan So
Provider Entity Type
Individual
Gender
Male
Address
24 S Black Horse Pike, Mount Ephraim, NJ 08059-1321
Phone Number
215-606-8291
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2021
Last Update Date
January 8, 2021
Certification Date
January 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 S Black Horse Pike
Mount Ephraim, NJ 08059-1321
Zip
08059-1321
Phone Number
215-606-8291
Mount Ephraim, NJ 08059Get directions →

Provider Business Mailing Address Details

Address
1214 N 4TH St
Philadelphia, PA 19122-4404
City
Philadelphia
State
PA
Zip
19122-4404
Phone Number
215-606-8291

License Information

License Number (1)
RP451430
License State (1)
PA
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
28RI03481900
License State (2)
NJ
Taxonomy (2)
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wan So?

The NPI number of Wan So is 1548858004. It was assigned on January 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Wan So?

Wan So is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in PA under license number RP451430.

Where does Wan So practice?

The practice location is 24 S Black Horse Pike, Mount Ephraim, NJ 08059-1321. The office can be reached at 215-606-8291 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548858004 directly on the NPPES registry website.

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