Organization
MILLINGTON PHARMACY INC
Active
Other names
MILLINGTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAGER (OWNER)
(410) 928-5333
Entity
Organization
Contact information
Practice address
200 SASSAFRAS ST, MILLINGTON, MD 21651
(410) 928-5333
(410) 928-5216
Mailing address
PO BOX 390, MILLINGTON, MD 21651-0390
(410) 928-5333
(410) 928-5216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01371
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034044
PK
—
05
—
441292300
—
MD
05
—
441308300
—
MD
Enumeration date
08/17/2006
Last updated
12/22/2016
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