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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