Organization
SHALOM PHARMACY
Active
Other names
SHALOM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABIODUN AREWA (OWNER)
(301) 512-0868
Entity
Organization
Contact information
Practice address
9131 PISCATAWAY RD, STE 260, CLINTON, MD 20735-2508
(301) 856-5663
(301) 856-8563
Mailing address
9131 PISCATAWAY RD, STE 260, CLINTON, MD 20735-2508
(301) 856-5663
(301) 856-8563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04761
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133990
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/05/2008
Last updated
02/02/2011
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