Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Long Lieu

Individual provider Pharmacist · NPI 1710691803

Long Lieu is a Pharmacist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

5040 City Line Ave
Philadelphia, PA 19131-1435
Phone: (215) 877-2116
Fax: (215) 877-5064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP457431 (PA)

Record details

NPI number1710691803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2023
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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