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General NPI Number Information
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NPI Number | 1578619540
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Entity Type | Organization
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Legal Business Name | BURKE'S PARKVILLE PHARMACY, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 8500 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21234-4675
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Country | US
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Telephone | 410-665-2600
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Fax | 410-665-8650
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Provider Business Mailing Address
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Address Line | 8500 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21234-4675
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Country | US
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Telephone | 410-665-2600
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Fax | 410-665-8650
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Authorized Official
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Title or Position | OWNER
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Name | MR. PATRICK EDWARD BURKE
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Credential | RPH
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Telephone | 410-252-1081
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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 | P03092
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License Number State | MD
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