Organization
GLEN BURNIE PHARMACY
Active
Other names
Lifeline Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW NYE II (OWNER)
(856) 506-1836
Entity
Organization
Contact information
Practice address
85 KINDRED WAY APT 102, GLEN BURNIE, MD 21061-5246
(410) 553-6100
Mailing address
85 KINDRED WAY APT 102, GLEN BURNIE, MD 21061-5246
(410) 553-6100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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