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General NPI Number Information
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NPI Number | 1235950577
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 10/19/2024
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 1053 MD RT 3 N STE 4
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City | GAMBRILLS
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State | MD
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Zip | 21054-1781
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Country | US
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Telephone | 240-354-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 EVERGREEN RD
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City | ODENTON
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State | MD
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Zip | 21113-2311
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Country | US
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Telephone | 240-354-5818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MORONKE A OBARO
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Credential | RPH
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Telephone | 240-354-5818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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