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General NPI Number Information
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NPI Number | 1023352630
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Entity Type | Organization
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Legal Business Name | EJS DRUGS
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 2438 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21218-5113
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Country | US
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Telephone | 443-708-0175
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Fax | 443-708-4054
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Provider Business Mailing Address
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Address Line | 2438 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21218-5113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. JEREMY LEBOVITCH
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Credential |
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Telephone | 917-968-9064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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