Oakdale Pharmacy
LBN: Nutrivene Pharmacy Group Inc
Oakdale Pharmacy is an health care organization with primary practice located at 1713 Edmondson Ave , Catonsville MD 21228-4346. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Nutrivene Pharmacy Group Inc can be contacted via phone (410) 747-7320, or through Huppmann, Janice via phone (410) 474-7320.
Contact Information
Primary practice address
1713 Edmondson Ave
Catonsville MD 21228-4346
Phone: (410) 747-7320
Fax: (410) 719-7951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P00474 | Maryland |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1427098177 |
|---|---|
| LBN Legal business name | Nutrivene Pharmacy Group Inc |
| DBA Doing business as | Oakdale Pharmacy |
| Authorized official | Huppmann, Janice |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Oct 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427098177 | NPPES |
| Other | 2125082 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 055203800 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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