Organization
MID-ATLANTIC VENTURES, INC
Active
Organization
MID-ATLANTIC VENTURES, INC
Active
Other names
Westside Pharmacy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GBENGA ISAAC OLAJIDE R.PH. (PRESIDENT/PHARMACIST MGR.)
(410) 566-1360
Entity
Organization
Contact information
Practice address
2021 W PRATT ST, BALTIMORE, MD 21223-2242
(410) 566-1360
(410) 566-5088
Mailing address
2021 W PRATT ST, BALTIMORE, MD 21223-2242
(410) 566-1360
(410) 566-5088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P03079
MD
Other
Enumeration date
05/26/2006
Last updated
03/07/2023
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