Organization
EMPIRE PROFESSIONAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL PATRICK MCGARVEY PHARM.D (OWNER/PHARMACIST)
(410) 787-0030
Entity
Organization
Contact information
Practice address
200 HOSPITAL DRIVE, SUITE 107, GLEN BURNIE, MD 21061-5884
(410) 787-0030
(410) 787-0033
Mailing address
200 HOSPITAL DRIVE, SUITE 107, GLEN BURNIE, MD 21061-5884
(410) 787-0030
(410) 787-0033
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
P00948
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P00948
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419578700
—
MD
01
—
Q4510001
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/01/2017
Last updated
06/01/2017
Update your record
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