Organization
KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY
Active
Organization
KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY
Active
Parent organization
KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY
Other names
st. Joseph medical Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY
Authorized official
MR. SYAM POTLURI (MANAGING MEMBER)
(443) 823-3350
Entity
Organization
Contact information
Practice address
7505 OSLER DR, TOWSON, MD 21204-7736
(443) 279-1998
(443) 895-4554
Mailing address
7505 OSLER DR, TOWSON, MD 21204-7736
(443) 279-1998
(443) 895-4554
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
04/23/2020
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