Organization
MANCHESTER DRUGS INC
Active
Other names
TANEYTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BOLTON RPH (OWNER)
(410) 765-5240
Entity
Organization
Contact information
Practice address
417 E BALTIMORE ST, SUITE #A1, TANEYTOWN, MD 21787-2300
(410) 756-5240
(410) 756-5243
Mailing address
417 E BALTIMORE ST, SUITE # A1, TANEYTOWN, MD 21787-2300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P03001
MD
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126363
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
368812700
—
MD
Enumeration date
06/21/2006
Last updated
07/09/2009
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