Organization
LOCH RAVEN PHARMACY INC
Active
Organization
LOCH RAVEN PHARMACY INC
Active
Other names
Campus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANWAR YOUSUF PHARMD (PRESIDENT)
(410) 323-1515
Entity
Organization
Contact information
Practice address
1101 N CALVERT ST UNIT 3, BALTIMORE, MD 21202-3840
(410) 433-9434
(410) 433-9436
Mailing address
1101 N CALVERT ST UNIT 3, BALTIMORE, MD 21202-3840
(410) 433-9434
(410) 433-9436
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P05311
MD
3336C0003X
Community/Retail Pharmacy
Primary
P05311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419724100
—
MD
01
—
D13440565
STAE TAX ID #
MD
01
—
P05311
PHARMACY PERMIT #
MD
Enumeration date
04/09/2010
Last updated
10/31/2023
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