White Marsh Pharmacy, NPI 1033297544
Community/Retail Pharmacy in Nottingham, MD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1033297544
NPI Entity Type Organization
Provider Name White Marsh Pharmacy
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4924 Campbell Blvd, Ste 120, Nottingham, MD, US
Provider Mailing Address 4924 Campbell Blvd, Ste 120, Nottingham, MD, US, 212365908
Is Sole Proprietor? No
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Organization Official

Official Name RPH Michael Souranis
Official Position OWNER
Phone 443-384-2500

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. P04046
License State MD
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

WHITE MARSH PHARMACY
Doing Business As

Business Address

White Marsh Pharmacy
4924 Campbell Blvd
Ste 120

Nottingham, MD, US

Phone: 443-384-2500
Fax: 443-384-2525

Mailing Address

White Marsh Pharmacy
4924 Campbell Blvd
Ste 120
Nottingham, MD, US
ZIP 212365908
Phone: 443-384-2500
Fax: 443-384-2525

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
001356100 MD MEDICAID 05
2037824 PK 01
001469900 MD MEDICAID 05

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