Organization
EASTERN SHORE PHARMACY INC
Active
Other names
EASTERN SHORE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
W ROBERT ELLIOTT (OWNER AND PHARMACIST)
(410) 749-5253
Entity
Organization
Contact information
Practice address
400 EASTERN SHORE DR STE 103, SALISBURY, MD 21804-5513
(410) 749-5253
(410) 749-6345
Mailing address
400 EASTERN SHORE DR STE 103, SALISBURY, MD 21804-5513
(410) 749-5253
(410) 749-6345
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02267
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036918
PK
—
05
—
890101500
—
MD
Enumeration date
09/20/2006
Last updated
07/02/2014
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