Organization
JOPPA ROAD PHARMACY LLC
Active
Other names
JOPPA ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS MAYER RPH (OWNER)
(410) 665-5050
Entity
Organization
Contact information
Practice address
1907A E JOPPA RD, BALTIMORE, MD 21234
(410) 665-5050
(410) 665-5959
Mailing address
1907A E JOPPA RD, BALTIMORE, MD 21234
(410) 665-5050
(410) 665-5959
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05506
MD
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037999
PK
—
05
—
4080360
—
MD
05
—
4086376
—
MD
Enumeration date
06/11/2006
Last updated
12/20/2016
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