Organization
CITY PHARMACY OF ELKTON, INC.
Active
Other names
City Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ANDREW CALDWELL (COMPLIANCE OFFICER)
(410) 392-2850
Entity
Organization
Contact information
Practice address
721 N BRIDGE ST, ELKTON, MD 21921-5309
(410) 392-2850
(410) 620-3568
Mailing address
721 N BRIDGE ST, ELKTON, MD 21921-5309
(410) 392-2850
(410) 620-3568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R1023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351551-01
BLUE CROSS/BLUE SHIELD
MD
05
—
417908100
—
MD
Enumeration date
02/13/2006
Last updated
01/18/2018
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