Organization
GWYNOAK PHARMACY INC
Active
Other names
GWYNOAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIFAT FAKUNLE RPH (OWNER/PHARM)
(410) 944-6911
Entity
Organization
Contact information
Practice address
1808 WOODLAWN DR, GWYNN OAK, MD 21207-4023
(410) 944-6911
(410) 944-6988
Mailing address
1808 WOODLAWN DR, GWYNN OAK, MD 21207-4023
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P04385
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132671
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
09/11/2025
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