National Provider Identifier Database

ST JOHNS PHARMACY INC
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

ST JOHNS PHARMACY INC
24288 THREE NOTCH RD
HOLLYWOOD, MD20636
Phone: 301-373-3340
Fax: 301-373-3691
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for ST JOHNS PHARMACY INC

NPI Number 1245397678
Legal business name
LBN
ST JOHNS PHARMACY INC
Authorized official LEO MALLARD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/03/2007
Last updated 12/26/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: P01320
  • MD Medicaid: 434192900
  • Other: 2114421 NCPDP PROVIDER IDENTIFICATION NUMBER

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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