Organization
NATILYS PHARMACY LLC
Active
Other names
PIKESVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEO FREEDMAN RPH (PRES)
(410) 653-8888
Entity
Organization
Contact information
Practice address
4001-A SEVEN MILE LANE, STE B, PIKESVILLE, MD 21208
(410) 653-8888
(410) 581-0100
Mailing address
4001-A SEVEN MILE LANE, STE B, BALTIMORE, MD 21208
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04352
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006045300
—
MD
01
—
2132582
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/23/2006
Last updated
12/12/2008
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