Organization
PHARMACARE AT REISTERSTOWN LLC
Active
Organization
PHARMACARE AT REISTERSTOWN LLC
Active
Other names
Pharmacare Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REDDY ANNAPPAREDDY (PHARMACY MANAGER)
(443) 616-6500
Entity
Organization
Contact information
Practice address
11813 1/2 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3303
(410) 526-1200
(410) 526-2100
Mailing address
2227 OLD EMMORTON RD, SUITE 122, BEL AIR, MD 21015-6187
(410) 526-1200
(410) 526-2100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05124
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028495500
—
MD
01
—
2135122
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2010
Last updated
09/14/2012
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