Organization
HABNAEL INC
Active
Other names
Greektown Pharmacy & Mini Mart
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIWOT FEKADE (MANAGER)
(443) 759-7062
Entity
Organization
Contact information
Practice address
4501 EASTERN AVE, BALTIMORE, MD 21224-4416
(202) 460-7703
(443) 941-9011
Mailing address
4501 EASTERN AVE, BALTIMORE, MD 21224-4416
(443) 759-7062
(443) 941-9011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362019100
—
MD
Enumeration date
04/02/2018
Last updated
01/29/2021
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