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General NPI Number Information
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NPI Number | 1053404491
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Entity Type | Organization
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Legal Business Name | OLNEY PROFESSIONAL PHARMACY INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 18111 PRINCE PHILIP DR
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-774-9812
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Fax | 301-774-9813
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Provider Business Mailing Address
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Address Line | 18111 PRINCE PHILIP DR SUITE 100
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-774-9812
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Fax | 301-774-9813
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Authorized Official
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Title or Position | PRESIDENT
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Name | HELEN YI
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Credential | RPH
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Telephone | 301-774-9812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P04031
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License Number State | MD
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