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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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