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General NPI Number Information
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NPI Number | 1134496268
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Entity Type | Organization
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Legal Business Name | COMFORT PHARMACY INC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 3240 BELAIR RD FIRST FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21213-1228
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Country | US
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Telephone | 410-342-0616
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Fax | 410-342-0618
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Provider Business Mailing Address
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Address Line | PO BOX 29383
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City | BALTIMORE
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State | MD
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Zip | 21213-0183
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Country | US
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Telephone | 443-629-2435
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Fax | 410-975-4610
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Authorized Official
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Title or Position | OWNER
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Name | OSE OKOJIE
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Credential |
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Telephone | 443-629-2435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 05601
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License Number State | MD
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