Organization
ALPHA HEALTHCARE GROUP LLC
Active
Other names
Alpha Healthcare Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PAPANIA (OFFICE MANAGER)
(410) 889-0727
Entity
Organization
Contact information
Practice address
418 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
Mailing address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
(410) 889-0729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06433
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147930
PK
—
Enumeration date
06/26/2014
Last updated
05/04/2015
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