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Contact Information

CIVIC HEALTH SERVICES 3 LLC
909 WASHINGTON ST
CAMBRIDGE, MD21613-2627
 Phone: 410-228-0900
 Fax: 410-228-0700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CIVIC HEALTH SERVICES 3 LLC

NPI Number 1063870020
LBN Legal business name CIVIC HEALTH SERVICES 3 LLC
Authorized official WAHEED AZIZ - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2016
Last updated 04/05/2016 - About 10 years ago
Identifiers
MD License # P07082
Other 2157980 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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