Organization
M & M PHARMACY INC
Active
Other names
ARUNDEL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD MATTUPALLI (PIC)
(410) 761-3443
Entity
Organization
Contact information
Practice address
7571 RITCHIE HWY, GLEN BURNIE, MD 21061-3716
(410) 761-3443
(410) 590-1986
Mailing address
7571 RITCHIE HWY, GLEN BURNIE, MD 21061-3716
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P00021
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105054
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
403286100
—
MD
Enumeration date
10/07/2006
Last updated
04/19/2012
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