Organization
DEEPA INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KETAN ARVIND PATEL RPH (RPH OWNER)
(410) 833-3930
Entity
Organization
Contact information
Practice address
11813 1/2 REISTERSTOWN RD, REISTERSTOWN, MD 21136
(410) 833-3930
(410) 526-0175
Mailing address
11813 1/2 REISTERSTOWN RD, REISTERSTOWN, MD 21136
(410) 833-3930
(410) 526-0175
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P01686
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118176
NCPDP #
MD
Enumeration date
08/07/2006
Last updated
03/07/2023
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