Professional Pharmacy

LBN: John Wayne Pharmacy Llc
Professional Pharmacy is an health care organization with primary practice located at 9106 Philadelphia Rd Ste 100, Baltimore MD 21237-4329. The organization recently has 6 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 / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. John Wayne Pharmacy Llc can be contacted via phone (410) 687-8113, or through Wayne, John via phone (410) 687-8113.

Contact Information

Primary practice address
9106 Philadelphia Rd Ste 100 Baltimore MD 21237-4329
Phone: (410) 687-8113
Fax: (410) 391-3922
Website:
Map and Directions
Authorized official contact:
Name: Wayne, John PD
Phone: (410) 687-8113

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P04404 Maryland
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1457394108
LBN Legal business name John Wayne Pharmacy Llc
DBA Doing business as Professional Pharmacy
Authorized official Wayne, John PD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 16th, 2016 - about 9 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 1457394108 NPPES
Maryland MEDICAID 011018300
Maryland Other 2034379

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