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Organization
PARADISE PROFESSIONAL PHARMACY INC
Active
Organization
PARADISE PROFESSIONAL PHARMACY INC
Active
Other names
PARADISE PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAIMON CARY PHARMD (OWNER)
(410) 526-1055
Entity
Organization
Contact information
Practice address
6350 FREDERICK RD SIDE DOOR, CATONSVILLE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Mailing address
6350 FREDERICK RD SIDE DOOR, CATONSVILLE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PW0295
MD
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013219500
—
MD
01
—
2038222
PK
—
Enumeration date
04/03/2007
Last updated
01/11/2023
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