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Contact Information

CHASE BREXTON HEALTH CARE
1111 N CHARLES ST
BALTIMORE, MD21201-5505
 Phone: 410-837-2050
 Fax: 443-573-5010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHASE BREXTON HEALTH CARE

NPI Number 1184722175
LBN Legal business name CHASE BREXTON HEALTH CARE
Authorized official JEFFREY CYWINSKI - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 02/06/2024 - About 2 years ago
Identifiers
MD License # P05144
MD Medicaid 358702900
Other 2035778 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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