Organization
WIENNER INC
Active
Other names
MT VERNON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M WIENNER R.PH. (PRESIDENT)
(410) 539-8030
Entity
Organization
Contact information
Practice address
900 CATHEDRAL ST, BALTIMORE, MD 21201-5311
(410) 539-8030
(410) 539-8115
Mailing address
900 CATHEDRAL ST, BALTIMORE, MD 21201
(410) 539-8030
(410) 539-8115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02306
MD
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036592
PK
—
05
—
803001400
—
MD
Enumeration date
05/27/2005
Last updated
03/06/2024
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