Broadneck Pharmacy

LBN: Broadneck Pharmacy Inc
Broadneck Pharmacy is an health care organization with primary practice located at 269 Peninsula Farm Rd , Arnold MD 21012-1013. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broadneck Pharmacy Inc can be contacted via phone (410) 544-3733, or through Lachapelle, Marcus via phone (410) 544-3733.

Contact Information

Primary practice address
269 Peninsula Farm Rd Arnold MD 21012-1013
Phone: (410) 544-3733
Fax: (410) 544-4055
Website:
Map and Directions
Authorized official contact:
Name: Lachapelle, Marcus
Phone: (410) 544-3733

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P05349 Maryland

Profile Details

NPI number 1629010483
LBN Legal business name Broadneck Pharmacy Inc
DBA Doing business as Broadneck Pharmacy
Authorized official Lachapelle, Marcus
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 14th, 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 1629010483 NPPES
Maryland MEDICAID 367582300
Maryland Other 2125474

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