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General NPI Number Information
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NPI Number | 1427459072
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Entity Type | Organization
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Legal Business Name | DYNAMIC CARE PHARMACY WESTMINSTER
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 844 WASHINGTON RD STE 205
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City | WESTMINSTER
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State | MD
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Zip | 21157-6664
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Country | US
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Telephone | 410-848-1990
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Fax | 410-848-1886
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Provider Business Mailing Address
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Address Line | 844 WASHINGTON RD STE 205
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City | WESTMINSTER
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State | MD
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Zip | 21157-6664
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Country | US
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Telephone | 410-848-1990
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Fax | 410-848-1886
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Authorized Official
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Title or Position | DIR OF PHARMACY SERVICES
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Name | DR. OMOLOLA F PEFOK
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Credential | PHARM. D
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Telephone | 301-455-1844
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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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