Organization
HOMECARE PHARMACY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY WILLS (MANAGER)
(301) 790-8643
Entity
Organization
Contact information
Practice address
251 E ANTIETAM ST, HAGERSTOWN, MD 21740-5724
(301) 790-8643
(301) 790-8651
Mailing address
251 E ANTIETAM ST, HAGERSTOWN, MD 21740-5724
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P01199
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113506
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/07/2006
Last updated
02/15/2008
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