Avalon Professional Pharmacy
LBN: Avalon Marketing Inc
Avalon Professional Pharmacy is an health care organization with primary practice located at 12100 Annapolis Road Unit 2 , Glenn Dale MD 20769. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Avalon Marketing Inc can be contacted via phone (301) 383-0142, or through Maduka, Jason Chigozie via phone (301) 383-0142.
Contact Information
Primary practice address
12100 Annapolis Road Unit 2
Glenn Dale MD 20769
Phone: (301) 383-0142
Fax: (301) 383-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P05883 | Maryland |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1942548367 |
|---|---|
| LBN Legal business name | Avalon Marketing Inc |
| DBA Doing business as | Avalon Professional Pharmacy |
| Authorized official | Maduka, Jason Chigozie RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2013 |
| Last updated | Mar 12th, 2024 - about 8 months 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 | 1942548367 | NPPES |
| Maryland | MEDICAID | 456105800 |
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