# SCPG 2420 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Rx on Reisterstown Baltimore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831007145
- **Authorized official:** UMAR FAROOQ (PRESIDENT)
- **Authorized official phone:** (410) 764-6600

## Contact information

- **Practice address:** 6821 REISTERSTOWN RD STE 207, BALTIMORE, MD 21215-1482
- **Practice address phone:** (410) 764-6500
- **Mailing address:** 5473 BLAIR RD STE 100, DALLAS, TX 75231-4227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2026
- **Last updated:** 08/28/2026