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Organization

LYKOS PHARMACY INC

Active
Other names
LYKOS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY LYKOS RPO (OWNER)
(410) 252-4225
Entity
Organization

Contact information

Practice address
2101 YORK RD, TIMONIUM, MD 21093-3109
(410) 252-4225
(410) 252-1440
Mailing address
2101 YORK RD, TIMONIUM, MD 21093-3109
(410) 252-4225
(410) 252-1440

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P00402
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025602100
MD
01
2108341
NCPDP PROVIDER IDENTIFICATION NUMBER
05
2108341
MD
Enumeration date
09/21/2006
Last updated
01/24/2013
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