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NPI 1194003087

NPI 1194003087 : MED.ONE PHARMACY, INC. : BERLIN, MD

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General NPI Number Information
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    NPI Number           |    1194003087
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    Entity Type          |    Organization 
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    Legal Business Name  |    MED.ONE PHARMACY, INC. 
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Dates
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    Enumeration Date     |    07/27/2011
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    10119 OLD OCEAN CITY BLVD 
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    City                 |    BERLIN
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    State                |    MD
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    Zip                  |    21811-1143
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    Country              |    US
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    Telephone            |    410-489-2708
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    Fax                  |    410-489-2762
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Provider Business Mailing Address
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    Address Line         |    10119 OLD OCEAN CITY BLVD 
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    City                 |    BERLIN
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    State                |    MD
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    Zip                  |    21811-1143
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    Country              |    US
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    Telephone            |    410-489-2708
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    Fax                  |    410-489-2762
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     QAISAR  FAROOQ 
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    Credential           |    
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    Telephone            |    773-983-4923
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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       |    P05542
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    License Number State |    MD
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