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General NPI Number Information
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NPI Number | 1417560962
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Entity Type | Organization
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Legal Business Name | CROWNS PHARMACY LLC
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 9705 FORT MEADE RD
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City | LAUREL
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State | MD
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Zip | 20707-4405
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Country | US
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Telephone | 301-477-7141
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Fax | 240-391-6676
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Provider Business Mailing Address
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Address Line | 6381 GRATEFUL HEART GATE
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City | COLUMBIA
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State | MD
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Zip | 21044-6003
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Country | US
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Telephone | 301-477-7141
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Fax | 240-391-6676
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | CHUKWUEDOZIE H OKOTCHA
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Credential |
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Telephone | 301-477-7141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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