Organization
ADEPEC INC
Active
Other names
CENTRAL AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ANIFOWHOSHE PHRM (OWNER)
(410) 276-3532
Entity
Organization
Contact information
Practice address
1235 E MONUMENT ST, BALTIMORE, MD 21202-5327
(410) 276-3530
(410) 276-3531
Mailing address
8 WINDERMERE CT, OWINGS MILLS, MD 21117-6142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037796
PK
—
05
—
403797900
—
MD
Enumeration date
12/28/2006
Last updated
09/17/2015
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