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General NPI Number Information
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NPI Number | 1972932069
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Entity Type | Organization
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Legal Business Name | CHARM CITY PHARMACY INC
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 2203 N CHARLES ST LOWER LEVEL
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City | BALTIMORE
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State | MD
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Zip | 21218-5740
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Country | US
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Telephone | 410-662-6000
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Fax | 410-662-6001
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Provider Business Mailing Address
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Address Line | 9476 FENS HOLW
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City | LAUREL
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State | MD
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Zip | 20723-5732
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Country | US
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Telephone | 410-662-6000
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Fax | 410-662-6001
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Authorized Official
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Title or Position | PRESIDENT
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Name | TEMITOPE O GBOLAGUN
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Credential |
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Telephone | 410-662-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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