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General NPI Number Information
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NPI Number | 1538834528
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Entity Type | Organization
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Legal Business Name | EVA PHARMACY LLC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2101 GARRISON BLVD
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City | BALTIMORE
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State | MD
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Zip | 21216-2606
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Country | US
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Telephone | 410-725-3424
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Fax | 443-378-8553
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Provider Business Mailing Address
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Address Line | 2101 GARRISON BLVD
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City | BALTIMORE
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State | MD
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Zip | 21216-2606
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Country | US
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Telephone | 410-725-3424
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Fax | 443-378-8553
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADAUGO ELIZABETH ONYEKWERE
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Credential |
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Telephone | 410-725-3424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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