Organization
ANTIETAM HEALTH SERVICES INC
Active
Other names
HOME CARE PHARMACY N
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SWARNER BS PHARM (PHCY MGR)
(240) 313-3110
Entity
Organization
Contact information
Practice address
13424 PENNSYLVANIA AVE, SUITE 102, HAGERSTOWN, MD 21742-2658
(240) 313-3110
(240) 313-3111
Mailing address
13424 PENNSYLVANIA AVE, SUITE 102, HAGERSTOWN, MD 21742-2658
(240) 313-3110
(240) 313-3111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04356
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132633
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
409926500
—
MD
Enumeration date
06/18/2006
Last updated
10/24/2012
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