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General NPI Number Information
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NPI Number | 1306488853
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Entity Type | Organization
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Legal Business Name | URBANA PHARMACY INC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 3420 WORTHINGTON BLVD STE B
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City | FREDERICK
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State | MD
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Zip | 21704-7020
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Country | US
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Telephone | 240-831-5155
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Fax | 301-810-2940
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Provider Business Mailing Address
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Address Line | 3420 WORTHINGTON BLVD STE B
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City | FREDERICK
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State | MD
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Zip | 21704-7020
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Country | US
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Telephone | 240-831-5155
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHARMACIST IN CHARGE
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Name | DR. ADETOLA DARAMOLA
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Credential | PHARM.D
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Telephone | 240-604-6770
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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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