Organization
SHARPSBURG PHARMACY INC
Active
Other names
SHARPSBURG PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HAAS (OWNER)
(301) 432-5488
Entity
Organization
Contact information
Practice address
17316 SHEPHEADSTOWN PIKE, SHARPSBURG, MD 21782
(301) 432-7223
(301) 432-4423
Mailing address
17316 SHEPHEADSTOWN PIKE, SHARPSBURG, MD 21782
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P01591
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117364
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
350338100
—
MD
Enumeration date
08/25/2005
Last updated
10/20/2008
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