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Organization
LTC PHARMACY SERVICES INC
Active
Organization
LTC PHARMACY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T MBI (PHARMACIST)
(410) 489-5770
Entity
Organization
Contact information
Practice address
13708 BOLD VENTURE DRIVE, GLENELG, MD 21737
(410) 489-5770
(410) 489-5771
Mailing address
13708 BOLD VENTURE DRIVE, GLENELG, MD 21737
(410) 489-5770
(410) 489-5771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PW0251
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW0251
ST LC
—
Enumeration date
08/24/2006
Last updated
03/07/2023
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