Organization
CHESTERTOWN PHARMACY LLC
Active
Other names
CHESTERTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE TINELLI (OWNER/PHARM)
(410) 778-2575
Entity
Organization
Contact information
Practice address
329 HIGH ST, CHESTERTOWN, MD 21620-1333
(410) 778-2575
(410) 778-7311
Mailing address
PO BOX 555, CHESTERTOWN, MD 21620-0555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05544
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033152000
—
MD
01
—
2107173
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
02/28/2013
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