Organization
CENTRE PARK PHARMACY,INC
Active
Other names
centre park pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN NICHOLSON RPH (CEO)
(443) 812-1990
Entity
Organization
Contact information
Practice address
8885 CENTRE PARK DRIVE, SUITE 2C, COLUMBIA, MD 21045
(410) 740-7000
(410) 740-1980
Mailing address
10947 SWANSFIELD RD, COLUMBIA, MD 21044-2727
(443) 812-1990
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P06971
PHARMACY PERMIT NUMBER
MD
Enumeration date
12/08/2015
Last updated
12/08/2015
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