Organization
MERGOLD INC
Active
Other names
HALETHORPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GARMER RPH (OWNER,RPH,AO)
(410) 247-3344
Entity
Organization
Contact information
Practice address
1307 FRANCIS AVE, BALTIMORE, MD 21227-3913
(410) 247-3344
(410) 247-9110
Mailing address
1307 FRANCIS AVE, BALTIMORE, MD 21227-3913
(410) 247-3344
(410) 247-9110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02423
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036734
PK
—
05
—
241004400
—
MD
05
—
345000700
—
MD
Enumeration date
11/03/2006
Last updated
12/10/2015
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