Organization
INDIAN HEAD PHARMACY INC
Active
Organization
INDIAN HEAD PHARMACY INC
Active
Other names
Indian Head Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHEN RPH (OWNER)
(301) 743-3875
Entity
Organization
Contact information
Practice address
4115 INDIAN HEAD HWY, INDIAN HEAD, MD 20640-1750
(301) 684-2580
(301) 684-2593
Mailing address
4115 INDIAN HEAD HWY, INDIAN HEAD, MD 20640-1750
(301) 684-2580
(301) 684-2593
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05725
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135309
PK
—
05
—
335427000
—
MD
Enumeration date
05/14/2012
Last updated
11/12/2015
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