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General NPI Number Information
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NPI Number | 1619060050
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Entity Type | Organization
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Legal Business Name | D & D PHARMACY INC TA PURDUM PHARMACY
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 6901 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-1510
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Country | US
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Telephone | 410-377-5600
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Fax | 410-377-5050
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Provider Business Mailing Address
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Address Line | 3410 GARRISON FARNS RD
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City | BALTIMORE
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State | MD
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Zip | 21208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. NORTON JOEL GROSSBLATT
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Credential |
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Telephone | 410-377-5600
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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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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 06165
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P00592
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License Number State | MD
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