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General NPI Number Information
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NPI Number | 1821549056
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Entity Type | Organization
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Legal Business Name | CVS PHARMACY
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 7600 CRAIN HWY
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-4232
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Country | US
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Telephone | 301-627-6603
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Fax |
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Provider Business Mailing Address
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Address Line | 14491 ROCK CREEK RD
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City | BRANDYWINE
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State | MD
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Zip | 20613-2211
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Country | US
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Telephone | 301-579-9696
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MRS. FARRAH RHONICA MURRAY
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Credential | PHARMD
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Telephone | 301-579-9696
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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 | 16653
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License Number State | MD
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