Organization
FACTOR ONE SOURCE PHARMACY
Active
Other names
InfuCare Rx of MD
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA PATEL (PRESIDENT)
(877) 828-3940
Entity
Organization
Contact information
Practice address
217 GLENN ST STE 300, CUMBERLAND, MD 21502-2590
(877) 828-3940
Mailing address
PO BOX 2578, SECAUCUS, NJ 07096-2578
(877) 828-3940
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW0521
PHARMACY LICENSE NUMBER
MD
Enumeration date
08/23/2021
Last updated
06/03/2025
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