# CARROLL CREEK HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1598978199
- **Authorized official:** ERIC JAMES BURKHOLDER (DIRECTOR)
- **Authorized official phone:** (301) 698-7420

## Contact information

- **Practice address:** 420 E PATRICK ST, FREDERICK, MD 21701-5658
- **Practice address phone:** (301) 698-7420
- **Mailing address:** 420 E PATRICK ST, FREDERICK, MD 21701-5658
- **Mailing address phone:** (301) 698-7420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PW0242 | MD | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020