# COLLABORATE CARE PHARMACY & WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1831446574
- **Authorized official:** DR. JANET EGBE AYUK BSPHARM,PHARMD, RPH (CLINICAL PHARMACIST / OPERATIONS MA)
- **Authorized official phone:** (410) 598-6486

## Contact information

- **Practice address:** 3305 GARRISON BLVD, BALTIMORE, MD 21216-1323
- **Practice address phone:** (410) 367-3305
- **Practice address fax:** (410) 367-3311
- **Mailing address:** 3305 GARRISON BLVD, BALTIMORE, MD 21216-1323
- **Mailing address phone:** (410) 367-3305
- **Mailing address fax:** (410) 367-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 13096 | MD | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 02/06/2013
