East Pines Pharmacy Llc

LBN: East Pines Pharmacy Llc
East Pines Pharmacy Llc is an health care organization with primary practice located at 6003 66Th Ave , Riverdale MD 20737-1780. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. East Pines Pharmacy Llc can be contacted via phone (301) 459-6211, or through Awotunde, Omotayo via phone (301) 459-6211.

Contact Information

Primary practice address
6003 66Th Ave Riverdale MD 20737-1780
Phone: (301) 459-6211
Fax: (301) 459-6217
Website:
Map and Directions
Authorized official contact:
Name: Awotunde, Omotayo
Phone: (301) 459-6211

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P04821 Maryland
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1386893642
LBN Legal business name East Pines Pharmacy Llc
DBA Doing business as East Pines Pharmacy Llc
Authorized official Awotunde, Omotayo
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2008
Last updated Mar 10th, 2013 - about 11 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 1386893642 NPPES
Maryland MEDICAID 440047000
Maryland Other 2134245

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