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General NPI Number Information
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NPI Number | 1851585467
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Entity Type | Organization
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Legal Business Name | NOORI L.L.C.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5507 RITCHIE HWY STE A
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City | BROOKLYN PARK
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State | MD
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Zip | 21225-3472
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Country | US
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Telephone | 410-789-8722
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Fax | 410-789-2165
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Provider Business Mailing Address
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Address Line | 5507 RITCHIE HWY STE A
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City | BROOKLYN PARK
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State | MD
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Zip | 21225-3472
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Country | US
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Telephone | 410-789-8722
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Fax | 410-789-2165
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | RIZWAN SHAH
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Credential | RPH
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Telephone | 410-789-8722
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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 |
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License Number State | MD
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