Owings Mills Pharmacy

LBN: Rehoboth Healthcare Services
Owings Mills Pharmacy is an health care organization with primary practice located at 10085 Red Run Blvd Ste 104 Suite 104, Owings Mills MD 21117-4811. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Rehoboth Healthcare Services can be contacted via phone (443) 352-3818, or through Tanon, Jean via phone (443) 352-3818.

Contact Information

Primary practice address
10085 Red Run Blvd Ste 104 Suite 104 Owings Mills MD 21117-4811
Phone: (443) 352-3818
Fax: (443) 379-0051
Website:
Map and Directions
Authorized official contact:
Name: Tanon, Jean
Phone: (443) 352-3818

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07055 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1790139442
LBN Legal business name Rehoboth Healthcare Services
DBA Doing business as Owings Mills Pharmacy
Authorized official Tanon, Jean
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2016
Last updated Sep 2nd, 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 1790139442 NPPES
Other 2159837 PK
MEDICAID 1087894 PK

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