Organization
PRIORITY CARE PHARMACY LLC
Active
Other names
PRIORITY CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FORBIN (PHRM)
(301) 520-3239
Entity
Organization
Contact information
Practice address
804 WASHINGTON BLVD, BALTIMORE, MD 21230-2344
(410) 234-1919
(410) 234-1998
Mailing address
804 WASHINGTON BLVD, BALTIMORE, MD 21230-2344
(410) 234-1919
(410) 234-1998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04536
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133306
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
08/11/2011
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