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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