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General NPI Number Information
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NPI Number | 1063568012
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Entity Type | Organization
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Legal Business Name | BURKE DRUGS, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 801 W 36TH ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2508
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Country | US
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Telephone | 410-366-1744
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Fax | 410-366-1745
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Provider Business Mailing Address
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Address Line | 801 W 36TH ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2508
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Country | US
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Telephone | 410-366-1744
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Fax | 410-366-1745
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Authorized Official
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Title or Position | OWNER
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Name | MR. PATRICK EDWARD BURKE
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Credential | RPH
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Telephone | 410-366-1744
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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 | P01622
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License Number State | MD
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