Organization
PADEK HEALTHCARE INC.
Active
Organization
PADEK HEALTHCARE INC.
Active
Other names
PADEK HEALTHCARE PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE ADEKOYA (PRESIDENT)
(240) 731-3766
Entity
Organization
Contact information
Practice address
5814 BALTIMORE AVE, HYATTSVILLE, MD 20781-1623
(301) 277-7107
(301) 277-7127
Mailing address
5814 BALTIMORE AVE, HYATTSVILLE, MD 20781-1623
(240) 731-3766
(301) 277-7127
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07870
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177296
PK
—
Enumeration date
05/17/2018
Last updated
10/08/2025
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