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General NPI Number Information
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NPI Number | 1285104620
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Entity Type | Organization
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Legal Business Name | CAREMOR PHARMACY LLC
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 3839 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3733
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Country | US
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Telephone | 773-739-9036
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Fax |
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Provider Business Mailing Address
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Address Line | 1670 W PRATT BLVD
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City | CHICAGO
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State | IL
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Zip | 60626-4105
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Country | US
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Telephone | 609-772-1314
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED MURSHED
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Credential |
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Telephone | 609-772-1314
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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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