National Provider Identifier Database

ANTIETAM HEALTH SERVICES
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

ANTIETAM HEALTH SERVICES
307 E POTOMAC STREET
WILLIAMSPORT, MD21795-1203
Phone: 301-223-4100
Fax: 301-223-6133
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for ANTIETAM HEALTH SERVICES

NPI Number 1104915321
Legal business name
LBN
ANTIETAM HEALTH SERVICES
Authorized official LAURENCE HICKMAN - (PHARMACIST MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: P02295

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.

Reviews for ANTIETAM HEALTH SERVICES

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