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General NPI Number Information
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NPI Number | 1215457387
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Entity Type | Organization
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Legal Business Name | MY EXPRESS CARE SPECIALTY PHARMACY
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 4459 CRAIN HWY
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3046
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Country | US
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Telephone | 844-972-6138
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Fax | 240-448-3681
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Provider Business Mailing Address
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Address Line | 4459 CRAIN HWY
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City | WHITE PLAINS
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State | MD
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Zip | 20695
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Country | US
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Telephone | 844-972-6138
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Fax | 240-448-3681
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA MCCALL
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Credential |
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Telephone | 240-419-8153
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PW0508
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License Number State | MD
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