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Organization

SCPG 2420 LLC

Active
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Organization

SCPG 2420 LLC

Active
Other names
Express Rx on Reisterstown Baltimore
Organization subpart
No

Provider details

NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(410) 764-6500
Entity
Organization

Contact information

Practice address
6821 REISTERSTOWN RD STE 207, BALTIMORE, MD 21215-1482
(410) 764-6500
Mailing address
5473 BLAIR RD STE 100, DALLAS, TX 75231-4227

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
08/28/2026
Last updated
08/28/2026
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