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General NPI Number Information
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NPI Number | 1740913185
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Entity Type | Organization
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Legal Business Name | PARK PROFESSIONAL PHARMACY LLC
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Dates
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Enumeration Date | 07/04/2022
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Last Update Date | 07/04/2022
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Provider Practice Location Address
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Address Line | 580 RITCHIE HWY STE N
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3926
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Country | US
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Telephone | 301-775-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 580 RITCHIE HWY STE N
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3926
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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 | OWNER
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Name | NEIL MCGARVEY
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Credential | PHARMD
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Telephone | 301-775-1800
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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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