Organization
PROFESSIONAL PHARMACY SERVICES, INC.
Active
Other names
NeighborCare-Southgate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JAMES (REGULATORY LICENSING MANGAGER)
(513) 719-2600
Entity
Organization
Contact information
Practice address
325 HOSPITAL DR, GLEN BURNIE, MD 21061-5860
(410) 768-3520
(410) 766-4519
Mailing address
201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO1223
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116201200
—
MD
01
—
2122618
NCPDP
—
Enumeration date
08/24/2006
Last updated
02/15/2016
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