Organization
DEALE PHARMACY LLC
Active
Other names
Deale Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SURINDER SINGAL (PRESIDENT)
(410) 867-2455
Entity
Organization
Contact information
Practice address
5809 DEALE CHURCHTON RD, DEALE, MD 20751-2203
(410) 867-2455
(410) 867-2466
Mailing address
5809 DEALE CHURCHTON RD, DEALE, MD 20751-2203
(410) 867-2455
(410) 867-2466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05745
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137034
PK
—
Enumeration date
08/29/2012
Last updated
03/06/2017
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