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General NPI Number Information
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NPI Number | 1790001402
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Entity Type | Organization
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Legal Business Name | PHARMACARE AT DC, LLC
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 651 FLORIDA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20001-1875
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Country | US
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Telephone | 443-616-6500
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Fax | 202-387-1800
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Provider Business Mailing Address
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Address Line | 651 FLORIDA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20001-1875
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Country | US
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Telephone | 443-616-6500
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Fax | 202-387-1800
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Authorized Official
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Title or Position | PARTNER
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Name | MR. REDDY ANNAPPAREDDY
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Credential | RPH
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Telephone | 443-616-6500
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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 | RX1000421
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License Number State | DC
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