Main Street Pharmacy
LBN: Laurel Main Street Pharmacy
Main Street Pharmacy is an health care organization with primary practice located at 667 Main St , Laurel MD 20707-4067. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Laurel Main Street Pharmacy can be contacted via phone (301) 317-3838, or through Thakkar, Ali H via phone (301) 317-3838.
Contact Information
Primary practice address
667 Main St
Laurel MD 20707-4067
Phone: (301) 317-3838
Fax: (301) 317-3637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1043968530 |
|---|---|
| LBN Legal business name | Laurel Main Street Pharmacy |
| DBA Doing business as | Main Street Pharmacy |
| Authorized official | Thakkar, Ali H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2022 |
| Last updated | Sep 14th, 2023 - about last year |
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 | 1043968530 | NPPES |
| District of Columbia | MEDICAID | 037359100 | |
| District of Columbia | MEDICAID | 443806000 | |
| District of Columbia | MEDICAID | 336716900 |
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