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General NPI Number Information
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NPI Number | 1487107983
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Entity Type | Organization
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Legal Business Name | MORTON 8TH ST PHARMACY
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 724 E CAPITOL ST NE
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City | WASHINGTON
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State | DC
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Zip | 20003-1344
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Country | US
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Telephone | 202-547-0403
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Fax | 202-546-0467
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Provider Business Mailing Address
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Address Line | 14371 BEAKER CT
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City | BURTONSVILLE
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State | MD
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Zip | 20866-2050
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Country | US
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Telephone | 202-547-0378
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ANGELINE GAKUYA
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Credential |
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Telephone | 202-547-0378
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RX0000106
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License Number State | DC
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