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Organization

CIVIC HEALTH SERVICES LLC

Active
Other names
MT HERMON DISCOUNT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WAHEED AZIZ BS (PHARMACIST)
(410) 430-8500
Entity
Organization

Contact information

Practice address
1207 MOUNT HERMON RD, SALISBURY, MD 21804-5111
(410) 749-5900
(410) 749-5901
Mailing address
1207 MOUNT HERMON RD, SALISBURY, MD 21804-5111
(410) 749-5900
(410) 749-5901

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P04859
MD
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020248700
MD
01
2118209
PK
Enumeration date
11/27/2008
Last updated
07/19/2018
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