Organization
FEDERALSBURG PHARMACY LLC
Active
Other names
Cantner's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
SHALENDRA CHERUKURI (MEMBER)
(410) 754-5200
Entity
Organization
Contact information
Practice address
323 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1727
(410) 754-5200
(410) 754-8255
Mailing address
323 BLOOMINGDALE AVENUE, FEDERALSBURG, MD 21632
(410) 754-5200
(410) 754-8255
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05903
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139041
PK
—
05
—
334524600
—
MD
Enumeration date
09/21/2006
Last updated
09/19/2025
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