Organization
CIVIC HEALTH SERVICES 3 LLC
Active
Other names
SHORE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAHEED AZIZ (PHARMACIST)
(410) 430-8500
Entity
Organization
Contact information
Practice address
909 WASHINGTON ST, CAMBRIDGE, MD 21613-2627
(410) 228-0900
(410) 228-0700
Mailing address
337 CIVIC AVE STE 20, SALISBURY, MD 21804-5231
(410) 749-5900
(410) 749-5901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07082
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157980
PK
—
Enumeration date
02/05/2016
Last updated
04/05/2016
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