National Provider Identifier Database

AVALON PROFESSIONAL PHARMACY LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

AVALON PROFESSIONAL PHARMACY LLC.
12100 ANNAPOLIS RD UNIT 2
GLENN DALE, MD20769
Phone: 301-383-0142
Fax: 301-383-0143
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for AVALON PROFESSIONAL PHARMACY LLC.

NPI Number 1003681016
Legal business name
LBN
AVALON PROFESSIONAL PHARMACY LLC.
Authorized official JASON MADUKA - (PHARMACY OWNER/PHARMACY MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 11/20/2023
Last updated 11/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 456105800

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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