Organization
HERCOL INC
Active
Other names
SERVICE CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR AYU RPH (OWNER)
(301) 495-7775
Entity
Organization
Contact information
Practice address
1111 SPRING ST, STE 110, SILVER SPRING, MD 20910-4003
(301) 495-7775
(301) 495-7760
Mailing address
1111 SPRING ST, STE 110, SILVER SPRING, MD 20910-4003
(301) 495-7775
(301) 495-7760
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04363
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132847
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
414841000
—
MD
Enumeration date
06/19/2006
Last updated
09/27/2011
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