Organization
BELVEDERE ENTERPRISES INC.
Active
Other names
Belvedere Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANWAR YOUSUF PHARMD (PRESIDENT)
(410) 323-1515
Entity
Organization
Contact information
Practice address
5845 YORK ROAD, BALTIMORE, MD 21212
(410) 323-1515
(410) 323-0784
Mailing address
5845 YORK ROAD, BALTIMORE, MD 21212
(410) 323-1515
(410) 323-0784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
P05312
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419837900
—
MD
01
—
D13440573
STATE TAX ID #
MD
01
—
P05312
PHARMACY PERMIT #
MD
Enumeration date
04/08/2010
Last updated
10/31/2023
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