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General NPI Number Information
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NPI Number | 1215351978
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Entity Type | Organization
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Legal Business Name | MARYLAND PHARMACY AND HOME INFUSION INC.
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 1251 W PRATT ST UNIT 10
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City | BALTIMORE
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State | MD
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Zip | 21223-2665
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Country | US
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Telephone | 410-962-7013
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Fax | 410-962-7014
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Provider Business Mailing Address
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Address Line | 1251 W PRATT ST UNIT 10
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City | BALTIMORE
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State | MD
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Zip | 21223-2665
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Country | US
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Telephone | 410-962-7013
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Fax | 410-962-7014
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY OPERATIONS
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Name | MR. BUAGU MUSAZI
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Credential |
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Telephone | 443-824-4821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P06168
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License Number State | MD
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