Organization
SHALOM PHARMACY AND MEDICAL SUPPLIES LLC
Active
Other names
Shalom Pharmacy and Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
AYODELE AREWA (PHARMACIST/OWNER)
(301) 868-4094
Entity
Organization
Contact information
Practice address
8981 WOODYARD RD, CLINTON, MD 20735-4203
(301) 868-4094
(301) 868-4049
Mailing address
8981 WOODYARD RD, CLINTON, MD 20735-4203
(301) 868-4094
(301) 868-4049
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05901
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138000
PK
—
Enumeration date
09/06/2012
Last updated
02/20/2015
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