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General NPI Number Information
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NPI Number | 1649748211
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Entity Type | Organization
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Legal Business Name | BARA PHARMACY INC
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 7700 LITTLE RIVER TPKE STE 103
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City | ANNANDALE
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State | VA
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Zip | 22003-2400
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Country | US
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Telephone | 703-459-3139
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Fax | 703-995-0664
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Provider Business Mailing Address
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Address Line | 7700 LITTLE RIVER TPKE STE 103
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City | ANNANDALE
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State | VA
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Zip | 22003-2400
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Country | US
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Telephone | 703-495-3139
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Fax | 703-995-0664
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Authorized Official
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Title or Position | OWNER
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Name | SEOK YOUN SHIN
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Credential |
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Telephone | 571-334-4513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 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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