# OLD COURT LTC PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLD COURT PHARMACY INC
- **Other names:** OLD COURT LTC PHARMACY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417422734
- **Legal business name:** OLD COURT PHARMACY INC
- **Authorized official:** MR. EMEKA NWODIM (PHARMACIST)
- **Authorized official phone:** (410) 521-9520

## Contact information

- **Practice address:** 8607 LIBERTY RD, RANDALLSTOWN, MD 21133-4713
- **Practice address phone:** (410) 521-9520
- **Practice address fax:** (410) 521-9521
- **Mailing address:** 8607 LIBERTY RD, RANDALLSTOWN, MD 21133-4713
- **Mailing address phone:** (410) 521-9520
- **Mailing address fax:** (410) 521-9521

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2018
- **Last updated:** 07/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PW0520 | DON'T HAVE FOR NOW | MD |