Organization
OM SAINATH
Active
Other names
peninsula pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIRBALA PATEL (PHARMACIST /MANAGER)
(410) 546-3333
Entity
Organization
Contact information
Practice address
2417 N SALISBURY BLVD, UNIT # C, SALISBURY, MD 21801-2192
(410) 546-3333
(410) 546-1096
Mailing address
2417 N SALISBURY BLVD, UNIT # C, SALISBURY, MD 21801-2192
(410) 546-3333
(410) 546-1096
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05091
MD
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134827
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2009
Last updated
01/03/2011
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