Organization
BALTIMORE MEDICAL SYSTEMS, INC.
Active
Other names
Baltimore Medical Systems, Inc. Pharmacy At St. Agnes
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JACOBS (DIRECTOR OF PHARMACY SERVICES)
(443) 703-3654
Entity
Organization
Contact information
Practice address
900 S CATON AVE, DEPAUL BUILDING, BALTIMORE, MD 21229-5201
(443) 703-3185
(443) 703-3197
Mailing address
5525 EASTERN AVE STE 301, BALTIMORE, MD 21224-2796
(443) 703-3654
(410) 732-0185
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135778
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/12/2011
Last updated
12/08/2023
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