# B&A PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598908659
- **Authorized official:** JEREMY SAMUEL CUNDIFF (OWNER)
- **Authorized official phone:** (443) 949-8373

## Contact information

- **Practice address:** 4611 ASSEMBLY DR, LANHAM, MD 20706-4371
- **Practice address phone:** (410) 789-8454
- **Practice address fax:** (410) 789-8456
- **Mailing address:** 4611 ASSEMBLY DR, LANHAM, MD 20706-4371
- **Mailing address phone:** (410) 789-8454
- **Mailing address fax:** (410) 789-8456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PW0327 | MD | Yes |

## Other

- **Enumeration date:** 04/18/2009
- **Last updated:** 03/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 021812000 | — | MD |
| 01 | — | 024797900 | MEDICIAD DME MD | — |