Organization
PARKVIEW MARYLAND RX, LLC
Active
Other names
Monument Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WACLAWEK (CHIEF OPERATING OFFICER)
(716) 876-2323
Entity
Organization
Contact information
Practice address
2760 LIGHTHOUSE PT E STE 110, BALTIMORE, MD 21224-5054
(410) 276-7586
(510) 276-7587
Mailing address
3920 MAIN ST # 100, BUFFALO, NY 14226-3350
(716) 876-2323
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/11/2024
Last updated
04/15/2024
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