Organization
MBI AND MALERK INC
Active
Other names
The Medicine Shoppe Pharmacy 1501
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T MBI PHD (PHARMACIST)
(410) 730-9140
Entity
Organization
Contact information
Practice address
10451 TWIN RIVERS ROAD STE 105, COLUMBIA, MD 21044
(410) 730-9140
(410) 730-9404
Mailing address
10451 TWIN RIVERS ROAD STE 105, COLUMBIA, MD 21044
(410) 730-9140
(410) 730-9404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P02054
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02054
STATE LC
MD
Enumeration date
06/18/2006
Last updated
03/07/2023
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