Organization
MARELAINE INC
Active
Other names
INDEPENDENT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GARMER RPH (OWNER,RPH,AO)
(410) 687-1115
Entity
Organization
Contact information
Practice address
28 KINGSTON RD, BALTIMORE, MD 21220-4814
(410) 687-1115
(410) 687-0032
Mailing address
28 KINGSTON RD, BALTIMORE, MD 21220-4814
(410) 687-1115
(410) 687-0032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04009
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037802
PK
—
05
—
404088100
—
MD
05
—
405657400
—
MD
Enumeration date
11/15/2006
Last updated
12/01/2015
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