Main Street Pharmacy

LBN: Laurel Main Street Pharmacy Incorporated
Main Street Pharmacy is an health care organization with primary practice located at 667 Main St , Laurel MD 20707-4067. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Ambulatory Health Care Facilities / Primary Care. Pharmacy Service Providers / Pharmacist 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
Phone: (301) 317-3838

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 16959 Maryland
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1477558112
LBN Legal business name Laurel Main Street Pharmacy Incorporated
DBA Doing business as Main Street Pharmacy
Authorized official Thakkar, Ali H
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2005
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 1477558112 NPPES
Maryland MEDICAID 0029793
Maryland Other 2132087

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