# PARADISE PROFESSIONAL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARADISE PROFESSIONAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457472904
- **Authorized official:** RAIMON CARY PHARMD (OWNER)
- **Authorized official phone:** (410) 526-1055

## Contact information

- **Practice address:** 6350 FREDERICK RD SIDE DOOR, CATONSVILLE, MD 21228-2375
- **Practice address phone:** (410) 744-5959
- **Practice address fax:** (410) 744-4810
- **Mailing address:** 6350 FREDERICK RD SIDE DOOR, CATONSVILLE, MD 21228-2375
- **Mailing address phone:** (410) 744-5959
- **Mailing address fax:** (410) 744-4810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PW0295 | MD | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 01/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013219500 | — | MD |
| 01 | — | 2038222 | PK | — |