# BELVEDERE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BELVEDERE PHARMACY
- **Other names:** Belvedere Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437731221
- **Legal business name:** BELVEDERE PHARMACY
- **Authorized official:** BERNARD W ANDOH (MANAGER)
- **Authorized official phone:** (410) 367-5710

## Contact information

- **Practice address:** 3716 1/2 W BELVEDERE AVE UNIT C, BALTIMORE, MD 21215-5708
- **Practice address phone:** (410) 367-5710
- **Practice address fax:** (410) 367-5639
- **Mailing address:** 3716 1/2 W BELVEDERE AVE UNIT C, BALTIMORE, MD 21215-5708
- **Mailing address phone:** (410) 367-5710
- **Mailing address fax:** (410) 367-5639

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2021
- **Last updated:** 04/22/2021