Organization
GARDENVILLE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW NYE II PHARMD (PHARMACIST)
(410) 252-5247
Entity
Organization
Contact information
Practice address
5415 BELAIR RD, BALTIMORE, MD 21206-4207
(856) 506-1836
Mailing address
1776 YORK RD, LUTHERVILLE TIMONIUM, MD 21093-5606
(856) 506-1836
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
02/22/2024
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