Organization
BALTIMORE MEDICAL SYSTEM INC
Active
Other names
Baltimore Medical System Inc Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JACOBS (DIRECTOR OF PHARMACY SERVICES)
(443) 703-3654
Entity
Organization
Contact information
Practice address
3120 ERDMAN AVE, BALTIMORE, MD 21213-1720
(443) 703-3683
(410) 534-0143
Mailing address
5525 EASTERN AVE STE 301, BALTIMORE, MD 21224-2796
(443) 703-3654
(443) 703-3639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04992
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119406
PK
—
05
—
416605100
—
MD
Enumeration date
03/13/2009
Last updated
12/08/2023
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