Organization
MEDSTAR PHARMACIES, INC.
Active
Other names
MedStar Pharmacy at Good Samaritan Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A. SARACINO (PHARMACY SERVICES MANAGER)
(410) 540-4492
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 532-4760
(410) 532-4726
Mailing address
7379 WASHINGTON BLVD, ELKRIDGE, MD 21075-6329
(410) 540-4492
(410) 579-8264
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PO2035
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122000
NCPDP
—
05
—
400434500
—
MD
05
—
406323600
—
MD
Enumeration date
04/17/2006
Last updated
01/21/2008
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