Organization
TUXEDO PHARMACY INC
Active
Other names
TUXEDO PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD DAVIDOV (PRES)
(410) 323-3000
Entity
Organization
Contact information
Practice address
5115 ROLAND AVE, BALTIMORE, MD 21210-2138
(410) 323-3000
(410) 435-6733
Mailing address
5115 ROLAND AVENUE, BALTIMORE, MD 21210
(410) 323-3000
(410) 435-6733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P00794
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079742100
—
MD
01
—
2033031
PK
—
Enumeration date
10/12/2006
Last updated
09/19/2025
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