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General NPI Number Information
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NPI Number | 1295918340
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Entity Type | Organization
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Legal Business Name | MANCHESTER DRUGS, INC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 15 S CRANBERRY RD UNIT C
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City | WESTMINSTER
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State | MD
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Zip | 21157-5101
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Country | US
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Telephone | 410-857-4500
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Fax | 410-857-4220
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Provider Business Mailing Address
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Address Line | 15 S CRANBERRY RD UNIT C
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City | WESTMINSTER
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State | MD
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Zip | 21157-5101
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Country | US
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Telephone | 410-857-4500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS MCLEAN BOLTON
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Credential | RPH
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Telephone | 443-929-2484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P04695
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License Number State | MD
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