Organization
EASTERN PHARMACEUTICALS
Active
Other names
MedMerica Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY KHANNA PHARM.D., M.B.A. (PRESIDENT)
(443) 283-8400
Entity
Organization
Contact information
Practice address
5003 RITCHIE HWY, BROOKLYN, MD 21225-3048
(443) 283-8400
(443) 893-7145
Mailing address
5003 RITCHIE HWY, BROOKLYN, MD 21225-3048
(443) 283-8400
(443) 893-7145
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04195
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003621800
—
MD
01
—
2132277
NCPDP NUMBER
—
Enumeration date
02/14/2007
Last updated
04/20/2012
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