Organization
FRIENDLY PHARMACY LLC
Active
Organization
FRIENDLY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT JACKSON (OWNER)
(301) 580-3818
Entity
Organization
Contact information
Practice address
226 TOWN CENTER DR, LUSBY, MD 20657
(410) 326-2260
(410) 326-3360
Mailing address
226 TOWN CENTER DR, LUSBY, MD 20657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133712
OTHER ID NUMBER
—
Enumeration date
11/19/2007
Last updated
12/19/2007
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