Organization
DECK LLC
Active
Organization
DECK LLC
Active
Other names
MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOPKINS RPH (OWNER)
(410) 745-6700
Entity
Organization
Contact information
Practice address
204 S TALBOT, ST MICHAELS, MD 21663
(410) 745-6700
(410) 745-4016
Mailing address
204 S TALBOT, PO BOX 567, ST MICHAELS, MD 21663
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02280
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122911
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
406149700
—
MD
Enumeration date
11/08/2006
Last updated
09/14/2012
Update your record
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