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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