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General NPI Number Information
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NPI Number | 1265049647
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Entity Type | Organization
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Legal Business Name | WEST NORTH PHARMACY, INC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 3044 W NORTH AVE STE A&B
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City | BALTIMORE
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State | MD
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Zip | 21216-3180
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Country | US
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Telephone | 443-873-6184
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Fax | 443-885-9952
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Provider Business Mailing Address
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Address Line | 3044 W NORTH AVE STE A&B
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City | BALTIMORE
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State | MD
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Zip | 21216-3180
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Country | US
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Telephone | 443-873-6184
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Fax | 443-885-9952
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Authorized Official
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Title or Position | DIRECTOR
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Name | OMOLARA O ADEOLA
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Credential |
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Telephone | 443-677-7130
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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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