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General NPI Number Information
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NPI Number | 1083918619
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Entity Type | Organization
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Legal Business Name | ADAMS PROFESSIONAL PHARMACY LLC
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 110 BAUGHMANS LN FL 1
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City | FREDERICK
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State | MD
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Zip | 21702-4059
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Country | US
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Telephone | 301-620-0777
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Fax | 301-620-7007
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Provider Business Mailing Address
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Address Line | 110 BAUGHMANS LN FL 1
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City | FREDERICK
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State | MD
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Zip | 21702-4059
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Country | US
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Telephone | 301-620-0777
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Fax | 301-620-7007
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. NASIR MAHMOOD
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Credential | BS IN PHARMACY
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Telephone | 304-620-0777
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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 | P05415
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License Number State | MD
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