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Contact Information

BELVEDERE PHARMACY LLC
3716 AND ONE HALF W BELVEREDE AVE
UNIT C
BALTIMORE, MD21215
 Phone: 410-367-5628
 Fax: 410-367-5639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BELVEDERE PHARMACY LLC

NPI Number 1457475030
LBN Legal business name BELVEDERE PHARMACY LLC
Authorized official BERNARD ANDOH - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2007
Last updated 02/28/2017 - About 9 years ago
Identifiers
MD License # P04553
MD Medicaid 014324300
Other 2038225 PK
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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