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General NPI Number Information
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NPI Number | 1376945576
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Entity Type | Organization
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Legal Business Name | FINKSBURG PHARMACY INC
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 2027 SUFFOLK RD STE 4
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City | FINKSBURG
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State | MD
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Zip | 21048-1634
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Country | US
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Telephone | 410-526-1055
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 SUFFOLK RD
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City | FINKSBURG
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State | MD
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Zip | 21048-1633
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Country | US
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Telephone | 410-526-1055
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Fax |
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Authorized Official
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Title or Position | OWNER/PIC
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Name | RAIMON CARY
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Credential | PHARMD
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Telephone | 410-526-1055
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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 |
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License Number State |
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