Organization
BELVEDERE PHARMACY LLC
Active
Organization
BELVEDERE PHARMACY LLC
Active
Other names
BELVEDERE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD ANDOH (MANAGER)
(410) 367-5628
Entity
Organization
Contact information
Practice address
3716 AND ONE HALF W BELVEREDE AVE, UNIT C, BALTIMORE, MD 21215
(410) 367-5628
(410) 367-5639
Mailing address
3716 AND ONE HALF W BELVEREDE AVE, UNIT C, BALTIMORE, MD 21215
(410) 367-5628
(410) 367-5639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04553
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014324300
—
MD
01
—
2038225
PK
—
Enumeration date
03/19/2007
Last updated
02/28/2017
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