<Unavail>

LBN: Archangel Michael Llc
<Unavail> is an health care organization with primary practice located at 11125 Rockville Pike Ste 102 , Rockville MD 20852-3142. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Archangel Michael Llc can be contacted via phone (301) 321-2525, or through Sidhom, Jaen via phone (301) 321-2525.

Contact Information

Primary practice address
11125 Rockville Pike Ste 102 Rockville MD 20852-3142
Phone: (301) 321-2525
Fax: (301) 321-2626
Website:
Map and Directions
Authorized official contact:
Name: Sidhom, Jaen RPH
Phone: (301) 321-2525

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1326756057
LBN Legal business name Archangel Michael Llc
DBA Doing business as <Unavail>
Authorized official Sidhom, Jaen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2022
Last updated Jun 18th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326756057 NPPES
Maryland MEDICAID 209675700
Maryland MEDICAID 1326756057

Popular Providers