White Marsh Pharmacy
LBN: White Marsh Pharmacy
White Marsh Pharmacy is an health care organization with primary practice located at 4924 Campbell Blvd Ste 120, Nottingham MD 21236-5908. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
White Marsh Pharmacy can be contacted via phone (443) 384-2500, or through Souranis, Michael via phone (443) 384-2500.
Contact Information
Primary practice address
4924 Campbell Blvd Ste 120
Nottingham MD 21236-5908
Phone: (443) 384-2500
Fax: (443) 384-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P04046 | Maryland |
Profile Details
| NPI number | 1033297544 |
|---|---|
| LBN Legal business name | White Marsh Pharmacy |
| DBA Doing business as | White Marsh Pharmacy |
| Authorized official | Souranis, Michael RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 21st, 2013 - about 13 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 | 1033297544 | NPPES |
| Maryland | MEDICAID | 001356100 | |
| Maryland | Other | 2037824 | |
| Maryland | MEDICAID | 001469900 |
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