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General NPI Number Information
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NPI Number | 1851523765
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL CARE PHARMACY INC
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 1514 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-3814
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Country | US
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Telephone | 410-484-4801
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Fax | 410-484-4803
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Provider Business Mailing Address
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Address Line | 1514 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-3814
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Country | US
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Telephone | 410-484-4801
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Fax | 410-484-4803
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Authorized Official
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Title or Position | PRESIDENT
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Name | MILANA MULGAN
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Credential |
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Telephone | 443-983-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PW0466
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License Number State | MD
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