Organization
CROWNS PHARMACY LLC
Active
Other names
CROWNS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHUKWUEDOZIE H OKOTCHA (MANAGING OWNER)
(301) 477-7141
Entity
Organization
Contact information
Practice address
9705 FORT MEADE RD, LAUREL, MD 20707-4405
(301) 477-7141
(240) 391-6676
Mailing address
6381 GRATEFUL HEART GATE, COLUMBIA, MD 21044-6003
(301) 477-7141
(240) 391-6676
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424843100
—
MD
Enumeration date
08/25/2020
Last updated
08/25/2020
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