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General NPI Number Information
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NPI Number | 1770002123
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PHARMACY & MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1116 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-4153
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Country | US
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Telephone | 410-653-6061
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Fax | 410-653-6068
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Provider Business Mailing Address
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Address Line | 1116 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-4153
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Country | US
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Telephone | 410-653-6061
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Fax | 410-653-6068
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Authorized Official
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Title or Position | OWNER
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Name | MILANA MULGAN
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Credential |
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Telephone | 410-653-6061
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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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