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General NPI Number Information
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NPI Number | 1396133625
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Entity Type | Organization
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Legal Business Name | SLPHARMACY INC.
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 2014 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21218-5902
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Country | US
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Telephone | 410-528-6010
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Fax | 410-244-1519
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Provider Business Mailing Address
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Address Line | 2014 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21218-5902
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Country | US
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Telephone | 410-528-6010
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Fax | 410-244-1519
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Authorized Official
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Title or Position | PHARMACIST
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Name | NARASIMHA RAO YANAMADDI
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Credential |
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Telephone | 732-666-7636
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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 | P06668
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License Number State | MD
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