Organization
COLUMBIA PHARMACY
Active
Other names
Columbia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARASH KHANI RPH (OWNER,PIC,AO)
(410) 995-1111
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD STE 11, COLUMBIA, MD 21045-3960
(410) 995-1111
(410) 995-1112
Mailing address
9650 SANTIAGO RD STE 11, COLUMBIA, MD 21045-3960
(410) 995-1111
(410) 995-1112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05963
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138937
PK
—
05
—
443809400
—
MD
Enumeration date
02/19/2013
Last updated
12/08/2016
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