Organization
POPLAR GROVE PHARMACY, INC
Active
Organization
POPLAR GROVE PHARMACY, INC
Active
Other names
POPLAR GROVE PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN NWOGA (PHARMACY MANAGER)
(443) 955-3081
Entity
Organization
Contact information
Practice address
709 POPLAR GROVE ST, BALTIMORE, MD 21216-4625
(410) 945-5555
(410) 945-5590
Mailing address
14908 MEANDERWOOD LN, BURTONSVILLE, MD 20866-2217
(240) 646-4818
(410) 945-5590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05639
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115209200
—
MD
01
—
2134376
PK
—
Enumeration date
01/13/2012
Last updated
09/19/2025
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