Organization
NORTHGATE PHARMACY INC.
Active
Other names
Northgate Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT IPPOLITO RPH (PHARMACIST/PRESIDENT)
(301) 932-7977
Entity
Organization
Contact information
Practice address
3973 SAINT CHARLES PKWY, WALDORF, MD 20602-2683
(301) 932-7977
(301) 932-9373
Mailing address
3973 SAINT CHARLES PKWY, WALDORF, MD 20602-2683
(301) 932-7977
(301) 932-9373
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P04037
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456785
CDS NUMBER
MD
01
—
P04037
PHARMACY PERMIT #
MD
Enumeration date
06/28/2005
Last updated
03/07/2023
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