Organization
CHESAPEAKE DRUG INC
Active
Other names
CHESAPEAKE PROGRESSIVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEO MALLARD RPH (MNGR)
(301) 855-7554
Entity
Organization
Contact information
Practice address
7955 BAYSIDE RD, 310, CHESAPEAK BCH, MD 20732-3112
(410) 257-2050
(410) 257-6683
Mailing address
7955 BAYSIDE RD, 310, CHESAPEAK BCH, MD 20732-3112
(410) 257-2050
(410) 257-6683
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01192
MD
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114027
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
405862300
—
MD
Enumeration date
01/08/2007
Last updated
01/24/2013
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