Organization
ICU INC
Active
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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