Organization
PHARMACARE AT MT CLAIRE LLC
Active
Organization
PHARMACARE AT MT CLAIRE LLC
Active
Other names
Pharmacare Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REDDY ANNAPPAREDDY (PHARMACIST)
(443) 616-6500
Entity
Organization
Contact information
Practice address
1251 W PRATT ST, BALTIMORE, MD 21223-2665
(410) 209-1100
(410) 209-4500
Mailing address
2227 OLD EMMORTON RD, SUITE 122, BEL AIR, MD 21015-6187
(410) 209-1100
(410) 209-4500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05268
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135223
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
30125600
—
MD
Enumeration date
03/12/2010
Last updated
09/14/2012
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