Ellicott City Pharmacy
LBN: Ellicott City Pharmacy Inc
Ellicott City Pharmacy is an health care organization with primary practice located at 10194 Baltimore National Pike Ste 104 , Ellicott City MD 21042-3655. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ellicott City Pharmacy Inc can be contacted via phone (410) 750-1951, or through Na, Paul J via phone (410) 750-1951.
Contact Information
Primary practice address
10194 Baltimore National Pike Ste 104
Ellicott City MD 21042-3655
Phone: (410) 750-1951
Fax: (410) 750-1953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P05543 | Maryland |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1497041768 |
|---|---|
| LBN Legal business name | Ellicott City Pharmacy Inc |
| DBA Doing business as | Ellicott City Pharmacy |
| Authorized official | Na, Paul J PHARM D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2011 |
| Last updated | Feb 11th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497041768 | NPPES |
| Other | 2131136 | PK | |
| MEDICAID | 442813700 | PK |
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