Organization
LABORATORYRX OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BEATTY (MEMBER)
(410) 916-3070
Entity
Organization
Contact information
Practice address
9538 DEERECO RD, TIMONIUM, MD 21093-2119
(410) 916-3070
Mailing address
60 W TERRA COTTA AVE STE B, STE 265, CRYSTAL LAKE, IL 60014-3548
(410) 916-3070
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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