Organization
SOMERSET HEALTH SERVICES LLC
Active
Organization
SOMERSET HEALTH SERVICES LLC
Active
Other names
Crisfield Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAH MOHAMMED YAHYA RP.H (VICE PRESIDENT)
(410) 968-1660
Entity
Organization
Contact information
Practice address
390 W MAIN ST UNIT A, CRISFIELD, MD 21817
(410) 968-1660
(410) 968-9102
Mailing address
390 W MAIN ST, CRISFIELD, MD 21817-1329
(410) 968-1660
(410) 968-9102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14326
MD
3336C0003X
Community/Retail Pharmacy
Primary
P04174
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150000
—
MD
05
—
010166268
—
VA
01
—
2132051
NCPDP
MD
01
—
408862000
MEDICAID DME
MD
01
—
457383
MD. CONTROL DRUG SUBSTANC
MD
01
—
P04174
PHARMACY PERMIT
MD
Enumeration date
01/02/2006
Last updated
03/07/2023
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