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General NPI Number Information
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NPI Number | 1245442854
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Entity Type | Organization
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Legal Business Name | HARVARD PHARMACY INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 10 WARREN RD STE 10WARREN
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2506
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Country | US
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Telephone | 410-667-0336
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Fax | 410-667-0339
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Provider Business Mailing Address
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Address Line | 10 WARREN RD STE 10WARREN
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2506
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Country | US
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Telephone | 410-667-0336
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Fax | 410-667-0339
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Authorized Official
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Title or Position | OWNER AND RPH
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Name | TAMANNA BANU
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Credential | R.PH
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Telephone | 410-667-0336
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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 | P04554
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License Number State | MD
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