Organization
SMITHSBURG PHARMACY LLC
Active
Other names
SMITHSBURG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIR ALI (PHARMACIST)
(301) 824-1111
Entity
Organization
Contact information
Practice address
22026 JEFFERSON BLVD, SMITHSBURG, MD 21783-2057
(301) 824-1111
(301) 824-1113
Mailing address
22026 JEFFERSON BLVD, SMITHSBURG, MD 21783-2057
(301) 824-1111
(301) 824-1113
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07138
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159069
PK
—
Enumeration date
02/19/2016
Last updated
02/18/2022
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