Organization
RANOR ENTERPRISES INC
Active
Other names
MAGNOLIA SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH ROBERTS R PH (OWNER)
(301) 739-9070
Entity
Organization
Contact information
Practice address
51 N WALNUT ST, HAGERSTOWN, MD 21740-4720
(301) 739-9070
(301) 739-3132
Mailing address
51 N WALNUT ST, HAGERSTOWN, MD 21740-4720
(301) 739-9070
(301) 739-3132
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02175
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143910300
—
MD
01
—
2122074
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
02/15/2011
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