Organization
PHARMASAP INC
Active
Other names
EXTRACARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULMOJEED ADEWALE LAWAL PD (MANAGER)
(410) 332-4666
Entity
Organization
Contact information
Practice address
883 N HOWARD ST, BALTIMORE, MD 21201-4605
(410) 332-4666
(410) 332-0298
Mailing address
883 N HOWARD ST, BALTIMORE, MD 21201-4605
(410) 332-4666
(410) 332-0298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09734
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404419300
—
MD
Enumeration date
11/28/2006
Last updated
11/13/2009
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