Organization
PHARMACARE AT PARK HEIGHTS LLC
Active
Other names
Pharmacare Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN BIEMER (OPERATIONS COORDINATOR)
(443) 377-4678
Entity
Organization
Contact information
Practice address
4412-14 PARK HEIGHTS AVENUE, BALTIMORE, MD 21215
(410) 466-4500
(410) 367-2500
Mailing address
2227 OLD EMMORTON RD, SUITE 122, BEL AIR, MD 21015-6187
(443) 512-8966
(443) 512-8887
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05605
MD
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
445400600
—
MD
Enumeration date
12/13/2011
Last updated
09/14/2012
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