Organization
MILFORD PHARMACY LLC
Active
Other names
Milford Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICO MAWUN (OWNER)
(703) 926-3219
Entity
Organization
Contact information
Practice address
8035A LIBERTY RD, BALTIMORE, MD 21244-2966
(410) 922-9466
(401) 922-9467
Mailing address
8035A LIBERTY RD, BALTIMORE, MD 21244-2966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04962
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134346
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/01/2009
Last updated
02/17/2009
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