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General NPI Number Information
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NPI Number | 1558709840
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Entity Type | Organization
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Legal Business Name | WOODMOOR PHARMACY AND MEDICAL SUPPLY.
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 7027 LIBERTY RD
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City | BALTIMORE
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State | MD
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Zip | 21207-5802
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Country | US
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Telephone | 410-448-4200
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Fax | 410-448-4202
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Provider Business Mailing Address
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Address Line | 7027 LIBERTY RD
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City | BALTIMORE
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State | MD
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Zip | 21207-5802
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Country | US
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Telephone | 410-448-4200
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Fax | 410-448-4202
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. GODFREY, UKWUOMA
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Credential | PHARM.D,. M.B.A.
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Telephone | 410-448-4200
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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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