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General NPI Number Information
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NPI Number | 1194183285
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Entity Type | Organization
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Legal Business Name | FEMKOL PHARMACY
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 526 SAINT PAUL ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2209
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Country | US
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Telephone | 410-617-8641
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Fax | 443-438-9494
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Provider Business Mailing Address
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Address Line | 526 ST PAUL PL
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City | BALTIMORE
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State | MD
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Zip | 21202
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Country | US
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Telephone | 410-617-8641
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Fax | 443-438-9494
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. OLUFEMI KENNETH KOLAWOLE
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Credential |
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Telephone | 410-617-8641
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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 | P06970
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License Number State | MD
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