<Unavail>
LBN: Fulton Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 236 N Market St , Frederick MD 21701-5335. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fulton Pharmacy, Llc can be contacted via phone (301) 662-4848, or through Westbrook, Michael via phone (301) 662-4848.
Contact Information
Primary practice address
236 N Market St
Frederick MD 21701-5335
Phone: (301) 662-4848
Fax: (301) 620-0668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P04757 | Maryland |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1639109473 |
|---|---|
| LBN Legal business name | Fulton Pharmacy, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Westbrook, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 17th, 2019 - about 7 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 | 1639109473 | NPPES |
| Maryland | MEDICAID | 419818200 | |
| Maryland | Other | 2033055 |
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