National Provider Identifier Database

SHOPRITE OF LIBERTY HEIGHTS LLC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

SHOPRITE OF LIBERTY HEIGHTS, LLC
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD21207-7553
Phone: 410-367-1850
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for SHOPRITE OF LIBERTY HEIGHTS, LLC

NPI Number 1306476106
Legal business name
LBN
SHOPRITE OF LIBERTY HEIGHTS, LLC
Authorized official FRANK HENDERSON - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/21/2020
Last updated 01/21/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 079663800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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