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General NPI Number Information
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NPI Number | 1518384940
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Entity Type | Organization
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Legal Business Name | ALEX PHARM LLC
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 5185 MACARTHUR BLVD NW # 107
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City | WASHINGTON
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State | DC
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Zip | 20016-3341
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Country | US
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Telephone | 202-362-0004
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Fax | 202-362-0006
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Provider Business Mailing Address
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Address Line | 5185 MACARTHUR BLVD NW # 107
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City | WASHINGTON
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State | DC
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Zip | 20016-3341
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Country | US
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Telephone | 202-362-0004
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Fax | 202-362-0006
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Authorized Official
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Title or Position | OWNER & PIC
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Name | AMIR MISAK
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Credential | RPH
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Telephone | 202-362-0004
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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 | RX0000068
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License Number State | DC
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