Organization
DDG INC
Active
Other names
WOODLAWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GRENNFELD (SECTY)
(410) 944-4600
Entity
Organization
Contact information
Practice address
6328 WINDSOR MILL RD, BALTIMORE, MD 21207-6051
(410) 944-4600
(410) 944-8455
Mailing address
6328 WINDSOR MILL RD, BALTIMORE, MD 21207-6051
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01028
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106993
OTHER ID NUMBER
—
Enumeration date
12/27/2005
Last updated
07/26/2007
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