Organization
HALETHORPE DRUG IMMUNIZATION LLC
Active
Parent organization
MERGOLD INC
Other names
Halethorpe Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERGOLD INC
Authorized official
MR. GEORGE GARMER RPH (V.P.)
(410) 207-5751
Entity
Organization
Contact information
Practice address
1307 FRANCIS AVE, BALTIMORE, MD 21227-3913
(410) 247-3344
(410) 247-9110
Mailing address
1307 FRANCIS AVE, BALTIMORE, MD 21227-3913
(410) 247-3344
(410) 247-9110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P02423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241004400
—
MD
Enumeration date
05/21/2014
Last updated
05/21/2014
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