Organization
THE MEDICINE SHOPPE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASMA NIAZI R.PH (PARTNER)
(410) 789-8722
Entity
Organization
Contact information
Practice address
5507 RITCHIE HWY STE A, BROOKLYN PARK, MD 21225-3472
(410) 789-8722
Mailing address
5507 RITCHIE HWY STE A, BROOKLYN PARK, MD 21225-3472
(410) 789-8722
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
P04669
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015476800
—
MD
Enumeration date
05/25/2016
Last updated
05/25/2016
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