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General NPI Number Information
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NPI Number | 1245557263
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Entity Type | Organization
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Legal Business Name | TRINITY CARE PHARMACY LLC
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 2222 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21218-5538
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Country | US
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Telephone | 410-366-0054
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Fax | 410-366-0068
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Provider Business Mailing Address
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Address Line | 7010 WATER OAK RD
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City | ELKRIDGE
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State | MD
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Zip | 21075-6525
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Country | US
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Telephone | 240-271-4415
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | KINGSLEY I OKOJIE
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Credential | PHARM D
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Telephone | 240-271-4415
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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 | P05308
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License Number State | MD
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