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General NPI Number Information
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NPI Number | 1932506672
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Entity Type | Organization
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Legal Business Name | GERMANTOWN PROFESSIONAL PHARMACY &COMPOUNDING
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 19735 GERMANTOWN RD SUITE 175
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City | GERMANTOWN
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State | MD
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Zip | 20874-1214
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Country | US
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Telephone | 202-957-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 19735 GERMANTOWN RD STE 175
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City | GERMANTOWN
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State | MD
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Zip | 20874-1226
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Country | US
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Telephone | 240-780-7412
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Fax | 240-780-7578
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | HOSSEIN ZAMANI
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Credential | PHARMD
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Telephone | 240-780-7412
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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 | P06662
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License Number State | MD
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