Organization
FRIENDSVILLE PHARMACY UPHOLD LLC
Active
Other names
Friendsville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER UPHOLD (PHARMD)
(814) 483-4310
Entity
Organization
Contact information
Practice address
248 MAPLE ST, FRIENDSVILLE, MD 21531-2122
(301) 746-5881
(301) 746-5803
Mailing address
PO BOX 127, FRIENDSVILLE, MD 21531-0127
(301) 746-5881
(301) 746-5803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P06419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146948
PK
—
05
—
3810028824
—
MD
Enumeration date
10/20/2005
Last updated
11/14/2024
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