Organization
MEDACCESS PHARMACY SVC LLC
Active
Other names
Laurel pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EJIKE I UNEGBU PHARM.D (DIRECTOR OF PHARMACY)
(301) 604-8500
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD STE 120, LAUREL, MD 20707-5267
(301) 604-8500
Mailing address
7350 VAN DUSEN RD STE 120, LAUREL, MD 20707-5267
(301) 604-8500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PO4144
MD
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407083600
—
MD
Enumeration date
09/21/2006
Last updated
10/24/2023
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