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General NPI Number Information
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NPI Number | 1134587371
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Entity Type | Organization
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Legal Business Name | PATIENT CARE PHARMACY INC
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 2047 WEST ST SUITE A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3006
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Country | US
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Telephone | 443-949-9005
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Fax | 443-949-9152
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Provider Business Mailing Address
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Address Line | 2047 WEST ST SUITE A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3006
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Country | US
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Telephone | 443-949-9005
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Fax | 443-949-9152
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Authorized Official
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Title or Position | OWNER, PIC
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Name | VAIBHAV PATEL
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Credential |
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Telephone | 443-716-6038
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07157
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License Number State | MD
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