Organization
ZONETAK HEALTHCARE AND
Active
Other names
Zonetak Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NGUEGNI FOBI-TAKUSI (DIRECTOR OF PHARMACY)
(410) 363-8271
Entity
Organization
Contact information
Practice address
10085 RED RUN BLVD STE 104, OWINGS MILLS, MD 21117-4811
(410) 363-8271
(410) 363-8273
Mailing address
4200 SIHLER OAKS TRL, OWINGS MILLS, MD 21117-5006
(410) 363-8271
(410) 363-8273
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05380
MD
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127189
PK
—
Enumeration date
08/13/2010
Last updated
07/02/2014
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