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General NPI Number Information
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NPI Number | 1386759538
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Entity Type | Organization
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Legal Business Name | RED RUN CORPORATION
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2401 BELAIR RD SUITE 101
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City | BALTIMORE
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State | MD
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Zip | 21213-1200
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Country | US
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Telephone | 410-276-6680
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Fax | 410-276-8247
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Provider Business Mailing Address
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Address Line | 10075 RED RUN BLVD SUITE 575
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4865
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Country | US
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Telephone | 419-319-0808
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BENJAMIN GREEN
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Credential |
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Telephone | 419-319-0801
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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 | P04456
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License Number State | MD
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