Organization
JOHNS HOPKINS OP PHCY AT ELDER PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN THOMPSON RPH MBA (DIRECTOR OP PHCY)
(410) 288-8022
Entity
Organization
Contact information
Practice address
4940 EASTERN AVE, RMHE 137 MASON F LORD BLDG E TWR, BALTIMORE, MD 21224-2735
(410) 550-5354
(410) 550-7864
Mailing address
PO BOX 630646, BALTIMORE, MD 21263-0646
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04438
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132897
OTHER ID NUMBER
—
Enumeration date
05/21/2008
Last updated
05/21/2008
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