CROWNS PHARMACY LLC; NPI #1417560962

Contact Information

CROWNS PHARMACY LLC

9705 FORT MEADE RD
LAUREL, MD 20707-4405

Phone: 301-477-7141
Fax: 240-391-6676
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CROWNS PHARMACY LLC

NPI Number 1417560962

LBN Legal business name CROWNS PHARMACY LLC

Authorized official CHUKWUEDOZIE OKOTCHA - (MANAGING OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/25/2020

Last updated 08/25/2020 - About 6 years ago

Identifiers

Medicaid

424843100

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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