Paradise Professional Pharmacy

LBN: Paradise Professional Pharmacy Inc
Paradise Professional Pharmacy is an health care organization with primary practice located at 6350 Frederick Rd Side Door , Catonsville MD 21228-2375. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Paradise Professional Pharmacy Inc can be contacted via phone (410) 744-5959, or through Cary, Raimon via phone (410) 526-1055.

Contact Information

Primary practice address
6350 Frederick Rd Side Door Catonsville MD 21228-2375
Fax: (410) 744-4810
Website:
Authorized official contact:
Name: Cary, Raimon PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PW0295 Maryland
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1457472904
LBN Legal business name Paradise Professional Pharmacy Inc
DBA Doing business as Paradise Professional Pharmacy
Authorized official Cary, Raimon PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457472904 NPPES
Maryland MEDICAID 013219500
Maryland Other 2038222

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