Organization
LUSBY PHARMACY LLC
Active
Other names
LUSBY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYE J OJIFINNI (PHARMACIST)
(443) 342-8209
Entity
Organization
Contact information
Practice address
11870 HG TRUEMAN RD, LUSBY, MD 20657-2999
(443) 342-8209
(443) 342-8210
Mailing address
11870 HG TRUEMAN RD, LUSBY, MD 20657-2999
(443) 342-8209
(443) 342-8210
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08070
MARYLAND BOARD OF PHARMACY PERMIT NUMBER
MD
Enumeration date
04/14/2019
Last updated
06/11/2019
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