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General NPI Number Information
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NPI Number | 1558360040
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Entity Type | Organization
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Legal Business Name | BANK PHARMACEUTICALS
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 1101 E OLDTOWN ROAD
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City | CUMBERLAND
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State | MD
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Zip | 21502
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Country | US
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Telephone | 301-729-6226
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Fax | 301-729-4229
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Provider Business Mailing Address
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Address Line | 1101 E OLDTOWN ROAD
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City | CUMBERLAND
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State | MD
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Zip | 21502
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Country | US
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Telephone | 301-729-6226
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Fax | 301-729-4229
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Authorized Official
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Title or Position | OWNER/CHIEF PHARMACIST
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Name | BRAD THOMAS
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Credential | P.D. RPH
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Telephone | 301-729-6226
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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 | PO3132
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License Number State | MD
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