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General NPI Number Information
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NPI Number | 1578385381
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Entity Type | Organization
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Legal Business Name | HEREFORD PHARMACY INC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 216 MOUNT CARMEL RD
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City | PARKTON
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State | MD
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Zip | 21120-9725
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Country | US
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Telephone | 410-329-6209
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Fax | 410-357-8002
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Provider Business Mailing Address
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Address Line | 216 MOUNT CARMEL RD
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City | PARKTON
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State | MD
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Zip | 21120-9725
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Country | US
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Telephone | 410-329-6209
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Fax | 410-357-8002
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEITH THOMAS PFAFF
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Credential | PHARM.D.
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Telephone | 410-329-6209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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