Organization
FIBUS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN LEE LEVIN BS (OWNER PHARMACIST)
(410) 947-1800
Entity
Organization
Contact information
Practice address
2101 GARRISON BLVD, BALTIMORE, MD 21216-2606
(410) 947-1800
(410) 566-9181
Mailing address
2101 GARRISON BLVD, BALTIMORE, MD 21216-2606
(410) 947-1800
(410) 566-9181
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05749
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54920401
CAREFIRST
MD
Enumeration date
07/25/2006
Last updated
08/22/2020
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