Organization
NORTHSIDE PHARMACY LONG TERM CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H AYRES (PRESIDENT)
(443) 207-8048
Entity
Organization
Contact information
Practice address
707 NORTH BRIDGE STREET, SUITE C, ELKTON, MD 21921
(443) 207-8048
(443) 207-8396
Mailing address
707 NORTH BRIDGE STREET, SUITE C, ELKTON, MD 21921
(443) 207-8048
(443) 207-8396
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
MD
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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