Organization
PARTNERS PHARMACY OF MARYLAND LLC
Active
Other names
Advanced Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JODY FENELON (VICE-PRESIDENT OF COMPLIANCE)
(815) 985-4873
Entity
Organization
Contact information
Practice address
8910 ROUTE 108, SUITE C, COLUMBIA, MD 21045-2151
(410) 910-9260
(410) 740-0146
Mailing address
8910 ROUTE 108, SUITE C, COLUMBIA, MD 21045-2151
(410) 910-9260
(410) 740-0146
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PW0304
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649470220
NPPES
—
01
—
2133510
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/20/2007
Last updated
11/12/2020
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