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General NPI Number Information
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NPI Number | 1588824171
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Entity Type | Organization
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Legal Business Name | GRANDONE LLC
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 3350 WILKENS AVE SUITE 200
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City | BALTIMORE
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State | MD
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Zip | 21229-4600
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Country | US
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Telephone | 410-646-0547
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Fax | 410-646-0549
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Provider Business Mailing Address
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Address Line | 3350 WILKENS AVE SUITE 200
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City | BALTIMORE
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State | MD
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Zip | 21229-4600
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Country | US
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Telephone | 410-646-0547
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Fax | 410-646-0549
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. CHARLES QUANSAH
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Credential |
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Telephone | 410-646-0547
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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 | MD
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