Organization
HOME CARE PHARMACY / FENNEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ZAMPELLI (V.P. ANTIETAM HEALTH SERVICES)
(301) 665-4525
Entity
Organization
Contact information
Practice address
324 E ANTIETAM ST, SUITE 202, HAGERSTOWN, MD 21740-5754
(301) 766-4167
(301) 745-4164
Mailing address
324 E ANTIETAM ST, SUITE 202, HAGERSTOWN, MD 21740-5754
(301) 766-4167
(301) 745-4164
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO1492
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116475
NCPDP
—
Enumeration date
07/10/2006
Last updated
03/07/2023
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