St Johns Progressive Pharmacy
LBN: St Johns Pharmacy Inc
St Johns Progressive Pharmacy is an health care organization with primary practice located at 24288 Three Notch Rd , Hollywood MD 20636. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
St Johns Pharmacy Inc can be contacted via phone (301) 373-3340, or through Mallard, Leo via phone (410) 741-5150.
Contact Information
Primary practice address
24288 Three Notch Rd
Hollywood MD 20636
Phone: (301) 373-3340
Fax: (301) 373-3691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P01320 | Maryland |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1245397678 |
|---|---|
| LBN Legal business name | St Johns Pharmacy Inc |
| DBA Doing business as | St Johns Progressive Pharmacy |
| Authorized official | Mallard, Leo RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Dec 26th, 2012 - about 12 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 | 1245397678 | NPPES |
| Other | 2114421 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 434192900 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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