Tidalhealth Specialty Pharmacy

LBN: Tidalhealth Peninsula Regional, Inc.
Tidalhealth Specialty Pharmacy is an health care organization with primary practice located at 100 E Carroll St Ste 1435A , Salisbury MD 21801-5422. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tidalhealth Peninsula Regional, Inc. can be contacted via phone (667) 330-1065, or through Cooper, William Clifford via phone (410) 543-7047.

Contact Information

Primary practice address
100 E Carroll St Ste 1435A Salisbury MD 21801-5422
Phone: (667) 330-1065
Fax: (410) 438-1992
Website:
Map and Directions
Authorized official contact:
Name: Cooper, William Clifford
Phone: (410) 543-7047

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1871031559
LBN Legal business name Tidalhealth Peninsula Regional, Inc.
DBA Doing business as Tidalhealth Specialty Pharmacy
Authorized official Cooper, William Clifford
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2017
Last updated Jul 9th, 2024 - about 5 months 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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