Laurel Main Street Pharmacy Incorporated

LBN: Laurel Main Street Pharmacy Incorporated
Laurel Main Street Pharmacy Incorporated 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 / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Laurel Main Street Pharmacy Incorporated 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:
Map and Directions
Authorized official contact:
Name: Thakkar, Ali H PHARM-D
Phone: (301) 317-3838

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X P05892 Maryland
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1023058690
LBN Legal business name Laurel Main Street Pharmacy Incorporated
DBA Doing business as
Authorized official Thakkar, Ali H PHARM-D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 14th, 2023 - about 2 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 1023058690 NPPES
Maryland MEDICAID 0029793
Maryland MEDICAID 4097696

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