Mattapony Care Pharmacy

LBN: Mattapony Care Pharmacy
Mattapony Care Pharmacy is an health care organization with primary practice located at 4919 57Th Ave , Bladensburg MD 20710-1605. 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. Mattapony Care Pharmacy can be contacted via phone (301) 779-2500, or through Rosenburg, Walter via phone (301) 779-2500.

Contact Information

Primary practice address
4919 57Th Ave Bladensburg MD 20710-1605
Phone: (301) 779-2500
Fax: (301) 699-8219
Website:
Map and Directions
Authorized official contact:
Name: Rosenburg, Walter PD
Phone: (301) 779-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P00421 Maryland
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1164579215
LBN Legal business name Mattapony Care Pharmacy
DBA Doing business as
Authorized official Rosenburg, Walter PD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 12th, 2007 - about 19 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 1164579215 NPPES
Other 2101943 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 2101943 OTHER ID NUMBER-COMMERCIAL NUMBER

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