Organization
PATTERSON PARK PHARMACY INC
Active
Other names
PATTERSON PARK PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LAM RPH (PHARMACY DIRECTOR)
(410) 675-6046
Entity
Organization
Contact information
Practice address
2245 EASTERN AVE, BALTIMORE, MD 21231-3113
(410) 675-6046
(410) 563-1147
Mailing address
2245 EASTERN AVE, BALTIMORE, MD 21231-3113
(410) 675-6046
(410) 563-1147
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01066
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112770
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
333972600
—
MD
Enumeration date
09/20/2006
Last updated
12/21/2010
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