Organization
ST BARNABAS PHARMACY
Active
Other names
ST.BARNABAS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ETHELBERT EZEKWU (PHARMACIST IN CHARGE)
(248) 996-3441
Entity
Organization
Contact information
Practice address
4311 SAINT BARNABAS RD, TEMPLE HILLS, MD 20748-1833
(301) 456-2471
(301) 456-2473
Mailing address
4311 ST.BARNABAS RD,, TEMPLE HILLS, MD 20748
(301) 456-2471
(301) 456-2473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05595
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132009
PK
—
Enumeration date
09/08/2011
Last updated
07/10/2017
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