Park Avenue Pharmacy

LBN: Vd & Sr Pharmacy Llc
Park Avenue Pharmacy is an health care organization with primary practice located at 1535 Park Ave , Baltimore MD 21217-4280. 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 / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vd & Sr Pharmacy Llc can be contacted via phone (410) 225-0800, or through Potluri, Syam via phone (443) 823-3350.

Contact Information

Primary practice address
1535 Park Ave Baltimore MD 21217-4280
Phone: (410) 225-0800
Fax: (410) 523-3434
Website:
Map and Directions
Authorized official contact:
Name: Potluri, Syam RPH
Phone: (443) 823-3350

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06708 Maryland
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1821170614
LBN Legal business name Vd & Sr Pharmacy Llc
DBA Doing business as Park Avenue Pharmacy
Authorized official Potluri, Syam RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Feb 15th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821170614 NPPES
Maryland MEDICAID 991042600
Maryland Other 2150056

Popular Providers