Organization
CHASE BREXTON
Active
Other names
Chase Brexton -- Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CYWINSKI RPH (DIRECTOR OF PHARMACY)
(410) 837-2050
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
(443) 573-5010
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(443) 573-5010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
P05715
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133505
PK
—
05
—
446908900
—
MD
Enumeration date
01/20/2012
Last updated
02/06/2024
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