# MEDSPACK MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foers LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851974646
- **Authorized official:** PRAMOD ARIKERI RPH (PRESIDENT)
- **Authorized official phone:** (301) 216-1190

## Contact information

- **Practice address:** 1300 PICCARD DR, STE LL\#16, ROCKVILLE, MD 20850
- **Practice address phone:** (301) 216-1190
- **Mailing address:** 5006 E TRINDLE RD STE 103, MECHANICSBURG, PA 17050-3647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 12/07/2021