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General NPI Number Information
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NPI Number | 1972549483
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Entity Type | Organization
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Legal Business Name | CHARLES CARE PHARMACIES LLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 504 EAST CHARLES ST
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City | LA PLATA
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State | MD
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Zip | 20646-5931
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Country | US
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Telephone | 301-934-0648
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Fax | 301-609-7816
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Provider Business Mailing Address
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Address Line | PO BOX 1723
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City | WESTMINSTER
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State | MD
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Zip | 21158-5723
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Country | US
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Telephone | 410-848-9251
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Fax | 443-639-0093
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES A. MILLER
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Credential |
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Telephone | 410-848-9251
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P04344
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License Number State | MD
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