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General NPI Number Information
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NPI Number | 1295714947
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Entity Type | Organization
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Legal Business Name | 4 S PHARMACY INC
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 615 W MACPHAIL RD SUITE 103
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City | BEL AIR
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State | MD
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Zip | 21014-4309
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Country | US
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Telephone | 410-638-7367
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Fax | 410-877-9199
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Provider Business Mailing Address
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Address Line | 615 W MACPHAIL RD SUITE 103
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City | BEL AIR
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State | MD
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Zip | 21014-4309
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Country | US
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Telephone | 410-638-7367
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Fax | 410-877-9199
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | STEPHEN TRISTANI
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Credential | RPH
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Telephone | 410-638-7367
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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 | P04338
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License Number State | MD
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