Organization
CHOICE HEALTH SERVICES INC
Active
Other names
Good Care pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VENKAT CHALASANI (PRESIDENT)
(443) 802-7006
Entity
Organization
Contact information
Practice address
23 CROSSROADS DR STE 110, OWINGS MILLS, MD 21117-5476
(410) 363-9900
(410) 363-8900
Mailing address
9151 REISTERSTOWN RD, OWINGS MILLS, MD 21117-4503
(410) 363-8222
(410) 363-2133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO6346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144765
PK
—
Enumeration date
03/04/2014
Last updated
02/16/2015
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