Organization
CIVIC HEALTH SERVICES LLC
Active
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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