Belvedere Pharmacy Llc

LBN: Belvedere Pharmacy Llc
Belvedere Pharmacy Llc is an health care organization with primary practice located at 3716 And One Half W Belverede Ave Unit C, Baltimore MD 21215. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Belvedere Pharmacy Llc can be contacted via phone (410) 367-5628, or through Andoh, Bernard via phone (410) 367-5628.

Contact Information

Primary practice address
3716 And One Half W Belverede Ave Unit C Baltimore MD 21215
Phone: (410) 367-5628
Fax: (410) 367-5639
Website:
Map and Directions
Authorized official contact:
Name: Andoh, Bernard
Phone: (410) 367-5628

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X P04553 Maryland
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1457475030
LBN Legal business name Belvedere Pharmacy Llc
DBA Doing business as Belvedere Pharmacy Llc
Authorized official Andoh, Bernard
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Feb 28th, 2017 - about 9 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457475030 NPPES
Other 2038225 PK
MEDICAID 014324300 PK

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