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Contact Information

DECK LLC
204 S TALBOT
SAINT MICHAELS, MD21663
 Phone: 410-745-6700
 Fax: 410-745-4016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DECK LLC

NPI # 1104996099
LBN Legal business name DECK LLC
Authorized official DAVID HOPKINS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 09/14/2012 - About 14 years ago
Identifiers
MD License # P02280
MD Medicaid 406149700
Other 2122911 NCPDP PROVIDER IDENTIFICATION NUMBER
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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