Organization
LLODNA INC
Active
Other names
GARWYN MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANDOLL RPH (PHARMACIST)
(410) 523-5900
Entity
Organization
Contact information
Practice address
2300 GARRISON BLVD, STE 209, BALTIMORE, MD 21216-2335
(410) 233-8666
(410) 233-8664
Mailing address
C/O LLODNA INC, 1700 EDMONDSON AVE, BALTIMORE, MD 21223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO4455
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011481200
—
MD
01
—
2132746
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
05/01/2009
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