# MERGOLD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Halethorpe Pharmacy Diabetes Self Management Education
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285012765
- **Authorized official:** GEORGE D GARMER RPH (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (410) 247-3344

## Contact information

- **Practice address:** 1307 FRANCIS AVE, BALTIMORE, MD 21227-3913
- **Practice address phone:** (410) 247-3344
- **Practice address fax:** (410) 247-9110
- **Mailing address:** 1307 FRANCIS AVE, BALTIMORE, MD 21227-3913
- **Mailing address phone:** (410) 247-3344
- **Mailing address fax:** (410) 247-9110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | P02423 | MD | Yes |

## Other

- **Enumeration date:** 05/15/2015
- **Last updated:** 05/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 405657400 | — | MD |
| 01 | — | 612048 | DIABETES EDUCATION ACCREDITATIONPROGRAM / AADE | MD |
