Organization
WYE OAK INC
Active
Organization
WYE OAK INC
Active
Other names
WYE OAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS MAKOGE (MANG)
(410) 536-0555
Entity
Organization
Contact information
Practice address
1935 LANSDOWNE RD, BALTIMORE, MD 21227-1707
(410) 536-0555
(410) 536-0231
Mailing address
1935 LANSDOWNE RD, BALTIMORE, MD 21227-1707
(410) 536-0555
(410) 536-0231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038284
PK
—
Enumeration date
09/28/2007
Last updated
05/22/2025
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