Organization
BROADNECK PHARMACY INC
Active
Other names
Broadneck Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS LACHAPELLE (PRESIDENT)
(410) 544-3733
Entity
Organization
Contact information
Practice address
269 PENINSULA FARM RD, ARNOLD, MD 21012-1013
(410) 544-3733
(410) 544-4055
Mailing address
269 PENINSULA FARM RD, ARNOLD, MD 21012-1013
(410) 544-3733
(410) 544-4055
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125474
PK
—
05
—
367582300
—
MD
Enumeration date
06/12/2006
Last updated
02/14/2017
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