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Organization
LOWER SHORE PHARMACY
Active
Organization
LOWER SHORE PHARMACY
Active
Parent organization
SEQUON, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUON, INC.
Authorized official
JOEL F FELDMAN (PRESIDENT)
(410) 292-3730
Entity
Organization
Contact information
Practice address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-4710
Mailing address
200 CHATTOLANEE HILL RD, OWINGS MILLS, MD 21117-4315
(410) 292-3730
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120397500
—
MD
Enumeration date
03/21/2017
Last updated
05/26/2017
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