Organization
JOHN WAYNE PHARMACY LLC
Active
Other names
PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VANWIE (OWNER)
(410) 687-8113
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD, BALTIMORE, MD 21237-4329
(410) 687-8113
(410) 391-3922
Mailing address
9106 PHILADELPHIA RD, BALTIMORE, MD 21237-4329
(410) 687-8113
(410) 391-3922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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