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General NPI Number Information
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NPI Number | 1992698666
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Entity Type | Organization
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Legal Business Name | PHARMPEDIA LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 10301 DEMOCRACY LN STE 300
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City | FAIRFAX
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State | VA
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Zip | 22030-2545
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Country | US
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Telephone | 703-447-3776
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Fax | 703-202-5001
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Provider Business Mailing Address
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Address Line | 10301 DEMOCRACY LN STE 300
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City | FAIRFAX
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State | VA
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Zip | 22030-2545
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Country | US
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Telephone | 703-447-3776
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Fax | 703-202-5001
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Authorized Official
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Title or Position | PHARMACIST
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Name | L BERHAN
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Credential | PHARM D
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Telephone | 703-447-3776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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