Organization
CITICARE PHARMACY AND MEDICAL EQUIPMENT, LLC
Active
Organization
CITICARE PHARMACY AND MEDICAL EQUIPMENT, LLC
Active
Other names
Citicare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEJI OLADAPO (PHARMACY MANAGER)
(410) 261-5551
Entity
Organization
Contact information
Practice address
3403 GREENMOUNT AVE, BALTIMORE, MD 21218-2824
(410) 261-5551
Mailing address
3403 GREENMOUNT AVE, BALTIMORE, MD 21218-2824
(410) 261-5551
(410) 261-5553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07173
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159722
PK
—
Enumeration date
04/09/2016
Last updated
07/10/2019
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