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General NPI Number Information
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NPI Number | 1952045296
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Entity Type | Organization
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Legal Business Name | LEXINGTON PHARMACY LLC
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 11 E LEXINGTON ST STE 100
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City | BALTIMORE
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State | MD
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Zip | 21202-1732
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Country | US
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Telephone | 410-200-9275
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Fax | 410-200-9274
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Provider Business Mailing Address
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Address Line | 11 E LEXINGTON ST STE 100
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City | BALTIMORE
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State | MD
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Zip | 21202-1732
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Country | US
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Telephone | 410-200-9275
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Fax | 410-200-9274
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Authorized Official
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Title or Position | OWNER
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Name | DR. YILKAL ENKUHAWARIAT
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Credential | RPH
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Telephone | 240-247-7586
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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 |
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