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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