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General NPI Number Information
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NPI Number | 1851052856
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Entity Type | Organization
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Legal Business Name | GERISCRIPT OF MD, LLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 796 CROMWELL PARK DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-2534
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Country | US
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Telephone | 718-408-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W PARKWAY STE 4
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1048
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Country | US
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Telephone | 718-408-0009
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MORRIS MEISELS
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Credential |
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Telephone | 718-408-0009
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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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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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