Organization
EAGLE PHARMACY INC
Active
Other names
EAGLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS MONGO (PIC)
(410) 442-2050
Entity
Organization
Contact information
Practice address
2470 LONGSTONE LN, UNIT G, MARRIOTTSVILLE, MD 21104-1510
(410) 442-2050
(410) 442-2053
Mailing address
2470 LONGSTONE LN, UNIT G, MARRIOTTSVILLE, MD 21104-1510
(410) 442-2050
(410) 442-2053
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04726
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038352
PK
—
Enumeration date
02/28/2008
Last updated
07/14/2014
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