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Contact Information

STATE OF MARYLAND
3983 CAMPUS DRIVE UNIVERSITY OF MARYLAND
COLLEGE PARK, MD20742-0001
 Phone: 301-314-8167
 Fax: 301-314-3677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STATE OF MARYLAND

NPI # 1942368162
LBN Legal business name STATE OF MARYLAND
Authorized official SPYRIDON MARINOPOULOS - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 10/29/2024 - More than a year ago
Identifiers
MD License # P00845
MD Medicaid 780882800
MD Medicaid 780882811
Other 2033551 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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