Organization
MARYLAND PHARMACY AND HOME INFUSION, INC
Active
Other names
Maryland Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
DORINE FOBI-TAKSUI (OWNER/PHARMACIST)
(410) 363-8271
Entity
Organization
Contact information
Practice address
10085 RED RUN BLVD, SUITE 104 B, OWINGS MILLS, MD 21117-4836
(410) 363-8271
(410) 363-8273
Mailing address
10085 RED RUN BLVD, SUITE 104 B, OWINGS MILLS, MD 21117-4836
(410) 363-8271
(410) 363-8273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MD
333600000X
Pharmacy
—
MD
3336H0001X
Home Infusion Therapy Pharmacy
—
MD
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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