Organization
ESSEX PHARMACY&SURGICALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINOD BOPPANA (PHARMACIST IN CHARGE)
(410) 686-0373
Entity
Organization
Contact information
Practice address
1550 COUNTRY RIDGE LN, ESSEX, MD 21221-3906
(410) 686-0373
(410) 686-3675
Mailing address
1550 COUNTRY RIDGE LN, ESSEX, MD 21221-3906
(410) 686-0373
(410) 686-3675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03433942
STATE OF MARYLAND BUSINESS LICENSE
MD
Enumeration date
11/29/2011
Last updated
02/27/2019
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