Organization
MIDDLE RIVER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY KHANNA (PRESIDENT)
(410) 781-1841
Entity
Organization
Contact information
Practice address
28 KINGSTON RD, MIDDLE RIVER, MD 21220-4814
(410) 781-1841
Mailing address
5003 RITCHIE HWY, BROOKLYN, MD 21225-3048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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