Mission Place Pharmacy

LBN: Prime Maryland, Llc
Mission Place Pharmacy is an health care organization with primary practice located at 8160 Washington Blvd Ste 102 , Jessup MD 20794-8812. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prime Maryland, Llc can be contacted via phone (443) 296-7478, or through Patel, Ravikumar via phone (267) 250-6130.

Contact Information

Primary practice address
8160 Washington Blvd Ste 102 Jessup MD 20794-8812
Phone: (443) 296-7478
Fax: (443) 296-7043
Website:
Map and Directions
Authorized official contact:
Name: Patel, Ravikumar
Phone: (267) 250-6130

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992079818
LBN Legal business name Prime Maryland, Llc
DBA Doing business as Mission Place Pharmacy
Authorized official Patel, Ravikumar
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2012
Last updated Mar 26th, 2020 - about 6 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 1992079818 NPPES
Maryland Other P08189 STATE PHARMACY LICENSE
Maryland Other 2136453 STATE PHARMACY LICENSE

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