Organization
CATONSVILLE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL LEIKACH (PRESIDENT)
(410) 744-5959
Entity
Organization
Contact information
Practice address
6350 FREDERICK RD, BALTIMORE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Mailing address
6350 FREDERICK RD, BALTIMORE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P02298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559900800
—
MD
Enumeration date
09/10/2014
Last updated
09/10/2014
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