Organization
ELLICOTT CITY PHARMACY INC
Active
Other names
Ellicott City Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J NA PHARMD (PRESIDENT)
(410) 750-1951
Entity
Organization
Contact information
Practice address
10194 BALTIMORE NATIONAL PIKE STE 104, ELLICOTT CITY, MD 21042-3655
(410) 750-1951
(410) 750-1953
Mailing address
10194 BALTIMORE NATIONAL PIKE STE 104, ELLICOTT CITY, MD 21042-3655
(410) 750-1951
(410) 750-1953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/23/2024
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