Organization
HOLABIRD PHARMACY, INC
Active
Organization
HOLABIRD PHARMACY, INC
Active
Other names
dba Universal Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT LICHTMAN C.O., B.O.C.O. (VICE PRESIDENT)
(410) 282-3300
Entity
Organization
Contact information
Practice address
305 HOSPITAL DR, SUITE 303, GLEN BURNIE, MD 21061-5805
(410) 282-3300
(410) 282-3333
Mailing address
7151 HOLABIRD AVE, BALTIMORE, MD 21222-1726
(410) 282-3300
(410) 282-3333
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C14358
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416798800
—
MD
Enumeration date
11/16/2006
Last updated
02/10/2011
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