Organization
SUNBEAM REISTERSTOWN INC
Active
Other names
Eldersburg Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JALAK PATEL (PHARMACIST)
(410) 549-1499
Entity
Organization
Contact information
Practice address
1708 LIBERTY RD STE 1, ELDERSBURG, MD 21784-6595
(410) 549-1499
(410) 549-1884
Mailing address
1708 LIBERTY RD STE 1, ELDERSBURG, MD 21784-6595
(410) 549-1499
(410) 549-1884
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05078
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027599900
—
MD
01
—
2134978
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/10/2009
Last updated
10/28/2010
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