Empire Professional Pharmacy Inc

LBN: Empire Professional Pharmacy Inc
Empire Professional Pharmacy Inc is an health care organization with primary practice located at 200 Hospital Dr Ste 107, Glen Burnie MD 21061-5884. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Empire Professional Pharmacy Inc can be contacted via phone (410) 787-0030, or through Cundiff, Jeremy via phone (410) 787-0030.

Contact Information

Primary practice address
200 Hospital Dr Ste 107 Glen Burnie MD 21061-5884
Fax: (410) 787-0030
Website:
Authorized official contact:
Name: Cundiff, Jeremy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P00948 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194752667
LBN Legal business name Empire Professional Pharmacy Inc
DBA Doing business as
Authorized official Cundiff, Jeremy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 24th, 2017 - about 7 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 1194752667 NPPES
Maryland MEDICAID 256723000
Maryland Other 2112009
Maryland MEDICAID 419578700

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