Organization
OLD COURT LTC PHARMACY INC
Active
Parent organization
OLD COURT PHARMACY INC
Other names
OLD COURT LTC PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD COURT PHARMACY INC
Authorized official
MR. EMEKA NWODIM (PHARMACIST)
(410) 521-9520
Entity
Organization
Contact information
Practice address
8607 LIBERTY RD, RANDALLSTOWN, MD 21133-4713
(410) 521-9520
(410) 521-9521
Mailing address
8607 LIBERTY RD, RANDALLSTOWN, MD 21133-4713
(410) 521-9520
(410) 521-9521
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW0520
DON'T HAVE FOR NOW
MD
Enumeration date
10/13/2018
Last updated
07/22/2019
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