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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