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General NPI Number Information
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NPI Number | 1548535925
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Entity Type | Organization
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Legal Business Name | METRO CARE PHARMACY LLC
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Dates
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Enumeration Date | 03/18/2012
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Last Update Date | 01/09/2022
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Provider Practice Location Address
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Address Line | 6323 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1101
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Country | US
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Telephone | 202-722-0171
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Fax | 202-722-7580
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Provider Business Mailing Address
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Address Line | 6323 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1101
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Country | US
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Telephone | 202-722-0171
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Fax | 202-722-7580
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | GELANIE REGASSA
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Credential | RPH
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Telephone | 202-722-0171
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RX1200004
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License Number State | DC
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