Joppa Road Pharmacy

LBN: Joppa Road Pharmacy Llc
Joppa Road Pharmacy is an health care organization with primary practice located at 1907A E Joppa Rd , Baltimore MD 21234. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Joppa Road Pharmacy Llc can be contacted via phone (410) 665-5050, or through Mayer, Morris via phone (410) 665-5050.

Contact Information

Primary practice address
1907A E Joppa Rd Baltimore MD 21234
Fax: (410) 665-5959
Website:
Authorized official contact:
Name: Mayer, Morris RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P05506 Maryland
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1689616112
LBN Legal business name Joppa Road Pharmacy Llc
DBA Doing business as Joppa Road Pharmacy
Authorized official Mayer, Morris RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 20th, 2016 - about 8 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 1689616112 NPPES
Other 2037999 PK
MEDICAID 4080360 PK
MEDICAID 4086376 PK

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