Patterson Park Pharmacy
LBN: Sarah786 Inc
Patterson Park Pharmacy is an health care organization with primary practice located at 2245 Eastern Ave , Baltimore MD 21231-3113. 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.
Sarah786 Inc can be contacted via phone (410) 675-6046, or through Shah, Syed via phone (954) 288-5257.
Contact Information
Primary practice address
2245 Eastern Ave
Baltimore MD 21231-3113
Phone: (410) 675-6046
Fax: (410) 563-1147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHNR001430 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 214001717 | Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NRX0000846 | District of Columbia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P05416 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NP000629 | Pennsylvania |
| Suppliers / Compounding Pharmacy | 3336C0004X | 64001534A | Indiana |
Profile Details
| NPI number | 1295037976 |
|---|---|
| LBN Legal business name | Sarah786 Inc |
| DBA Doing business as | Patterson Park Pharmacy |
| Authorized official | Shah, Syed |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2010 |
| Last updated | Jul 19th, 2018 - about 7 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 | 1295037976 | NPPES |
| Other | 2127929 | PK | |
| MEDICAID | 082807400 | PK | |
| MEDICAID | 420485900 | PK |
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