Organization
NORTH EAST DRUGS LLC
Active
Other names
James Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMAR KALIDINDI (MEMBER)
(954) 665-8454
Entity
Organization
Contact information
Practice address
1119 LIGHT ST, BALTIMORE, MD 21230-4104
(410) 752-5810
(410) 727-5403
Mailing address
1119 LIGHT ST, BALTIMORE, MD 21230-4104
(410) 752-5810
(410) 727-5403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07201
MD
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111592800
—
MD
01
—
2162484
PK
—
Enumeration date
09/30/2006
Last updated
07/15/2019
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