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General NPI Number Information
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NPI Number | 1760656656
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Entity Type | Organization
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Legal Business Name | DMC PHARMACY, LLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 13945 METROTECH DR
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City | CHANTILLY
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State | VA
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Zip | 20151-3239
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Country | US
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Telephone | 703-961-9055
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Fax | 703-961-9211
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Provider Business Mailing Address
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Address Line | 11096 LEE HWY STE B102
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City | FAIRFAX
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State | VA
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Zip | 22030-5032
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Country | US
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Telephone | 703-934-5552
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Fax | 703-766-5500
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Authorized Official
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Title or Position | MANAGER/PHARMACIST
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Name | MR. ROBERT FRANCIS SEMLER
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Credential | R.PH.
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Telephone | 540-295-4740
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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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