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General NPI Number Information
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NPI Number | 1780973099
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Entity Type | Organization
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Legal Business Name | MED RX LLC
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 7001 JOHNNYCAKE RD SUITE 100
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City | WINDSOR MILL
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State | MD
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Zip | 21244-2418
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Country | US
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Telephone | 410-788-8149
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Fax | 410-788-8194
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Provider Business Mailing Address
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Address Line | 7001 JOHNNYCAKE ROAD SUITE 100 ROLLING ROAD PHARMACY
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City | WINDSOR MILL
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State | MD
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Zip | 21244
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Country | US
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Telephone | 410-788-8149
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Fax | 410-788-8194
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Authorized Official
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Title or Position | OWNER/PHARMACY INCHARGE
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Name | ROOHI SALEEM
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Credential | B.S,RPH
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Telephone | 410-788-8149
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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 | P05496
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License Number State | MD
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