Organization
MANCHESTER DRUGS INC
Active
Other names
Carroll Drugs of Manchester
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BOLTON (PRESIDENT/PHARMACIST)
(443) 929-2484
Entity
Organization
Contact information
Practice address
3128 WESTMINSTER ST, MANCHESTER, MD 21102-1893
(410) 374-1414
(410) 374-1443
Mailing address
PO BOX 7, MANCHESTER, MD 21102-0007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05569
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135970
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/29/2011
Last updated
03/05/2013
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