Organization
MALYKA INC
Active
Other names
WISE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FAWAD SHAIKH (PHCY MANG)
(410) 285-8500
Entity
Organization
Contact information
Practice address
7836A WISE AVE, DUNDALK, MD 21222-3338
(410) 285-8500
(410) 285-7500
Mailing address
7836A WISE AVE, DUNDALK, MD 21222-3338
(410) 285-8500
(410) 285-7500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04736
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133875
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2008
Last updated
05/25/2011
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