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Organization
CATONSVILE P A PHARMACY INC
Active
Organization
CATONSVILE P A PHARMACY INC
Active
Other names
PROFESSIONAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SIMEON GEORGIOU (OWNER)
(443) 200-1200
Entity
Organization
Contact information
Practice address
2015 LORD BALTIMORE DR, BALTIMORE, MD 21244-2558
(443) 200-1200
(443) 200-1209
Mailing address
2015 LORD BALTIMORE DR, BALTIMORE, MD 21244-2558
(443) 200-1200
(443) 200-1209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
P01022
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033771
PK
—
05
—
269331300
—
MD
Enumeration date
08/18/2006
Last updated
03/06/2017
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