Organization
DENTON PHARMACY LLC
Active
Other names
DENTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WALLS (OWNER)
(410) 479-1100
Entity
Organization
Contact information
Practice address
508 S 5TH AVE, DENTON, MD 21629-1368
(410) 479-1100
(410) 479-1240
Mailing address
508 S 5TH AVE, DENTON, MD 21629-1368
(410) 479-1100
(410) 479-1240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01605
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034451
PK
—
05
—
401154600
—
MD
Enumeration date
09/30/2006
Last updated
09/19/2025
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