Organization
ICU INC
Active
Other names
Prime Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UCHECHUKWU IGWILO BACHELOR OF PHA (VICE PRESIDENT)
(410) 804-8227
Entity
Organization
Contact information
Practice address
5500 SINCLAIR LN, SUITE C, BALTIMORE, MD 21206-4605
(443) 453-9963
(443) 453-9965
Mailing address
5500 SINCLAIR LN, SUITE C, BALTIMORE, MD 21206-4605
(443) 453-9963
(443) 453-9965
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04838
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118002
PK
—
Enumeration date
11/11/2008
Last updated
02/16/2015
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