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General NPI Number Information
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NPI Number | 1659668655
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Entity Type | Organization
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Legal Business Name | KENNIES MARKET INC
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 11 GRAND DR.
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City | TANEYTOWN
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State | MD
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Zip | 21787
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Country | US
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Telephone | 410-756-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 11 GRAND DR.
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City | TANEYTOWN
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State | MD
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Zip | 21787
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Country | US
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Telephone | 410-756-6166
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Fax |
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Authorized Official
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Title or Position | LEAD PHARMACIST
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Name | MS. MARION LAMBERT
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Credential | RPH
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Telephone | 717-359-4295
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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 | P05541
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License Number State | MD
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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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