Organization
KLEINS TOWER PLAZA INC
Active
Other names
KLEINS Shoprite Pharmacy #545
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
2101 ROCK SPRING RD, FOREST HILL, MD 21050-2617
(410) 420-8224
(410) 420-8228
Mailing address
2101 ROCK SPRING RD, FOREST HILL, MD 21050-2617
(410) 420-8224
(410) 420-8228
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P00889
MD
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111778
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
773192200
—
MD
Enumeration date
08/24/2006
Last updated
08/25/2009
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