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General NPI Number Information
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NPI Number | 1295484079
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Entity Type | Organization
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Legal Business Name | MYPHARMACY LLC
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 14202 SMOKETOWN RD
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4708
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Country | US
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Telephone | 703-438-1285
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Fax |
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Provider Business Mailing Address
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Address Line | 14202 SMOKETOWN RD
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4708
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Country | US
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Telephone | 703-438-1285
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | JAMIL FAROOQ STANEKZAI
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Credential | PHARMD
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Telephone | 703-398-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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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