Organization
PARADISE PROFESSIONAL PHARMACY INC
Active
Other names
PARADISE PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAIMON CARY PHARMD (OWNER)
(410) 526-1055
Entity
Organization
Contact information
Practice address
6350 FREDERICK RD SIDE DOOR, CATONSVILLE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Mailing address
6350 FREDERICK RD SIDE DOOR, CATONSVILLE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PW0295
MD
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013219500
—
MD
01
—
2038222
PK
—
Enumeration date
04/03/2007
Last updated
01/11/2023
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