Menlo Pharmacy Llc

LBN: Menlo Pharmacy
Menlo Pharmacy Llc is an health care organization with primary practice located at 5900 Reisterstown Rd , Baltimore MD 21215-3481. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Menlo Pharmacy can be contacted via phone (410) 764-1112, or through Mawun, Nico via phone (703) 926-3219.

Contact Information

Primary practice address
5900 Reisterstown Rd Baltimore MD 21215-3481
Phone: (410) 764-1112
Fax: (410) 764-1113
Website:
Map and Directions
Authorized official contact:
Name: Mawun, Nico
Phone: (703) 926-3219

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X P04963 Maryland
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1881830453
LBN Legal business name Menlo Pharmacy
DBA Doing business as Menlo Pharmacy Llc
Authorized official Mawun, Nico
Entity Organization
Organization subpart 1 No
Enumeration date Jan 1st, 2009
Last updated Feb 17th, 2009 - about 15 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 1881830453 NPPES
Other 2134334 NCPDP PROVIDER IDENTIFICATION NUMBER

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