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General NPI Number Information
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NPI Number | 1942727714
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Entity Type | Organization
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Legal Business Name | MEDSTAR PHARMACIES, INC.
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 9000 FRANKLIN SQUARE DR
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City | ROSEDALE
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State | MD
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Zip | 21237-3901
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Country | US
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Telephone | 410-540-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 7379 WASHINGTON BLVD
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City | ELKRIDGE
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State | MD
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Zip | 21075-6358
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Country | US
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Telephone | 410-540-4492
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Fax | 410-579-8264
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Authorized Official
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Title or Position | MANAGER, ADMINISTRATIVE SERVICES
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Name | JOSEPH SARACINO
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Credential |
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Telephone | 410-540-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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