Organization
CHARM CITY PHARMACY INC
Active
Other names
WELLCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE O GBOLAGUN (PRESIDENT)
(410) 662-6000
Entity
Organization
Contact information
Practice address
2203 N CHARLES ST, LOWER LEVEL, BALTIMORE, MD 21218-5740
(410) 662-6000
(410) 662-6001
Mailing address
9476 FENS HOLW, LAUREL, MD 20723-5732
(410) 662-6000
(410) 662-6001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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