Organization
SANTA MONICA HEALTH SYSTEMS INC
Active
Other names
Santa Monica Pharmacy and Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYSIUS IBE (PRESIDENT)
(443) 798-0556
Entity
Organization
Contact information
Practice address
4300 BELAIR RD STE E, BALTIMORE, MD 21206-6300
(410) 617-0116
(443) 388-8139
Mailing address
2 AMYS WAY CT, BALTIMORE, MD 21234
(443) 798-0556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07422
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167894
PK
—
05
—
524138300
—
MD
Enumeration date
02/06/2017
Last updated
09/01/2017
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