Charlesmead Pharmacy

LBN: Charlesmead Fountain Pharmcy Llc
Charlesmead Pharmacy is an health care organization with primary practice located at 6242 Bellona Ave , Baltimore MD 21212-2445. 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. Charlesmead Fountain Pharmcy Llc can be contacted via phone (410) 435-0210, or through Kromsky, Mitchell via phone (410) 823-1818.

Contact Information

Primary practice address
6242 Bellona Ave Baltimore MD 21212-2445
Phone: (410) 435-0210
Fax: (410) 323-5025
Website:
Map and Directions
Authorized official contact:
Name: Kromsky, Mitchell
Phone: (410) 823-1818

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06964 Maryland

Profile Details

NPI number 1922105840
LBN Legal business name Charlesmead Fountain Pharmcy Llc
DBA Doing business as Charlesmead Pharmacy
Authorized official Kromsky, Mitchell
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 3rd, 2016 - about 10 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 1922105840 NPPES
Maryland MEDICAID 547107900
Maryland Other 2154754

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