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Contact Information

ANTIETAM HEALTH SERVICES
307 E POTOMAC STREET
WILLIAMSPORT, MD21795-1203
 Phone: 301-223-4100
 Fax: 301-223-6133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ANTIETAM HEALTH SERVICES

NPI # 1104915321
LBN Legal business name ANTIETAM HEALTH SERVICES
Authorized official LAURENCE HICKMAN - (PHARMACIST MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MD License # P02295
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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