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.

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Contact Information

ST JOHNS PHARMACY INC

24288 THREE NOTCH RD
HOLLYWOOD, MD 20636

Phone: 301-373-3340
Fax: 301-373-3691
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Specialty Pharmacy	3336S0011X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for ST JOHNS PHARMACY INC

NPI # 1245397678

LBN Legal business name ST JOHNS PHARMACY INC

Authorized official LEO MALLARD - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/03/2007

Last updated 12/26/2012 - About 13 years ago

Identifiers

MD	License #	P01320
MD	Medicaid	434192900
	Other	2114421	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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