Organization
GOPHER WOOD CORP
Active
Parent organization
GOPHER WOOD CORP
Other names
MAXCARE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOPHER WOOD CORP
Authorized official
DR. OLUJIMI BABATUNDE DR, RPH (PHARMACY OWNER)
(410) 553-4137
Entity
Organization
Contact information
Practice address
7448 BALTIMORE ANNAPOLIS BLVD STE A, GLEN BURNIE, MD 21061-3468
(410) 553-4137
(410) 487-6142
Mailing address
7448 BALTIMORE ANNAPOLIS BLVD STE A, GLEN BURNIE, MD 21061-3468
(410) 553-4137
(410) 487-6142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166752100
—
MD
Enumeration date
07/28/2020
Last updated
03/21/2024
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