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General NPI Number Information
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NPI Number | 1396152054
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Entity Type | Organization
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Legal Business Name | FAMILI-CARE PHARMACY, INC
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 11100 LIBERTY RD STE D
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-1054
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Country | US
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Telephone | 443-272-6424
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Fax | 443-272-6425
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Provider Business Mailing Address
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Address Line | 11100 LIBERTY RD SUITE D
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-1026
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Country | US
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Telephone | 443-272-6424
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Fax | 443-272-6425
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Authorized Official
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Title or Position | OWNER
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Name | LOUIS ONWUANAIBE
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Credential |
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Telephone | 443-272-6424
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P06331
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License Number State | MD
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