Organization
NORTHWEST HOSPITAL CENTER INC
Active
Other names
The LifeBridge Pharmacy at Northwest Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCCORMICK PHARM D. (AVP)
(410) 701-4618
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4455
(410) 701-4422
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4455
(410) 701-4422
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05509
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130052
PK
—
05
—
418994000
—
MD
Enumeration date
04/07/2011
Last updated
10/20/2021
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