Organization
BECKMANS GREENE STREET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALBERT BECKMAN PD (OWNER/PRESIDENT)
(301) 777-7336
Entity
Organization
Contact information
Practice address
686 GREENE ST, CUMBERLAND, MD 21502-2734
(301) 777-7336
(301) 777-3860
Mailing address
686 GREENE ST, CUMBERLAND, MD 21502-2734
(301) 777-7336
(301) 777-3860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P00939
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112011
NCPDP NUMBER
—
Enumeration date
06/09/2005
Last updated
03/18/2011
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