Organization
DIVINE CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKWUCHI OBASI PHARM. D (PHARMACIST/OWNER)
(240) 678-2804
Entity
Organization
Contact information
Practice address
1631 W NORTH AVE, BALTIMORE, MD 21217-1737
(443) 873-8294
(443) 873-8413
Mailing address
1631 W NORTH AVE, BALTIMORE, MD 21217-1737
(443) 873-8294
(443) 873-8413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P07231
MD
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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