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Organization
SCPG 2420 LLC
Active
Organization
SCPG 2420 LLC
Active
Other names
Express Rx on Reisterstown Baltimore
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(410) 764-6600
Entity
Organization
Contact information
Practice address
6821 REISTERSTOWN RD STE 207, BALTIMORE, MD 21215-1482
(410) 764-6500
Mailing address
5473 BLAIR RD STE 100, DALLAS, TX 75231-4227
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
08/28/2026
Last updated
08/28/2026
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