# MID-ATLANTIC VENTURES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WESTSIDE PHARMACY & WELLNESS CTR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073117750
- **Authorized official:** ISAAC ISAAC OLAJIDE (PHARMACIST MANAGER & OWNER)
- **Authorized official phone:** (410) 566-1360

## Contact information

- **Practice address:** 2021 W PRATT ST, BALTIMORE, MD 21223-2242
- **Practice address phone:** (410) 566-1360
- **Practice address fax:** (410) 566-5088
- **Mailing address:** 2021 W PRATT ST, BALTIMORE, MD 21223-2242
- **Mailing address phone:** (410) 566-1360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 11/24/2020