Organization
JARRETTSVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H LAPOURAILLE (PRESIDENT)
(410) 557-7717
Entity
Organization
Contact information
Practice address
3714 NORRISVILLE RD, JARRETTSVILLE, MD 21084-1434
(410) 557-7717
(410) 557-4336
Mailing address
PO BOX 57, JARRETTSVILLE, MD 21084-0057
(410) 557-7717
(410) 557-4336
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142122100
—
MD
Enumeration date
06/27/2023
Last updated
06/27/2023
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