Organization
CRYSTAL HEALTH SERVICES INC
Active
Organization
CRYSTAL HEALTH SERVICES INC
Active
Other names
Newtown pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJNA CHALASANI (PHARMACY MANAGER)
(410) 963-0444
Entity
Organization
Contact information
Practice address
9351 LAKESIDE BLVD STE 103, OWINGS MILLS, MD 21117-5063
(410) 363-8222
(410) 363-2133
Mailing address
9151 REISTERSTOWN RD, OWINGS MILLS, MD 21117-4503
(410) 363-8222
(410) 363-2133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05168
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135019
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/04/2010
Last updated
05/04/2011
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