Organization
B&A PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SAMUEL CUNDIFF (OWNER)
(443) 949-8373
Entity
Organization
Contact information
Practice address
4611 ASSEMBLY DR, LANHAM, MD 20706-4371
(410) 789-8454
(410) 789-8456
Mailing address
4611 ASSEMBLY DR, LANHAM, MD 20706-4371
(410) 789-8454
(410) 789-8456
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PW0327
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021812000
—
MD
01
—
024797900
MEDICIAD DME MD
—
Enumeration date
04/18/2009
Last updated
03/02/2026
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