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General NPI Number Information
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NPI Number | 1225407182
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Entity Type | Organization
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Legal Business Name | TRUECARE PHARMACY INC
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 5950 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21206-2615
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Country | US
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Telephone | 410-254-0100
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Fax | 410-254-0400
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Provider Business Mailing Address
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Address Line | PO BOX 32694
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City | BALTIMORE
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State | MD
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Zip | 21282-2694
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Country | US
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Telephone | 410-419-9833
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Fax | 410-254-0400
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Authorized Official
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Title or Position | OWNER
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Name | GLADSON NWANNA
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Credential |
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Telephone | 410-419-9833
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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 | P06934
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License Number State | MD
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