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General NPI Number Information
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NPI Number | 1497035992
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Entity Type | Organization
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Legal Business Name | GET-WELL PHARMACY LLC
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | EXPRESS PHARMACY #1 117 IVY HILL DR
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6704
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Country | US
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Telephone | 301-790-1233
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Fax | 301-790-1333
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Provider Business Mailing Address
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Address Line | EXPRESS PHARMACY #1 117 IVY HILL DR
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City | MIDDLETOWN
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State | MD
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Zip | 21769
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Country | US
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Telephone | 301-676-5876
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Fax | 301-790-1333
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Authorized Official
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Title or Position | OWNER
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Name | TRUNG VU
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Credential | BS. RPH
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Telephone | 301-676-5876
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P05573
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License Number State | MD
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