# CONTRACT PHARMACY SERVICES

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

## Provider details

- **NPI number:** 1689698383
- **Authorized official:** WAYNE SHAFER (OWNER)
- **Authorized official phone:** (267) 487-8900

## Contact information

- **Practice address:** 7200 THIRD AVE, ELDERSBURG, MD 21784-5201
- **Practice address phone:** (410) 549-8922
- **Practice address fax:** (410) 549-3677
- **Mailing address:** 125 TITUS AVE, WARRINGTON, PA 18976-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PW0278 | MD | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010337300 | — | MD |
| 01 | — | 2125183 | OTHER ID NUMBER | — |