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Contact Information

LIFE CARE PHARMACY LLC
5429 REISTERTOWN ROAD
BALTIMORE, MD21215
 Phone: 443-869-6787
 Fax: 443-869-6577
 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 LIFE CARE PHARMACY LLC

NPI # 1457731671
LBN Legal business name LIFE CARE PHARMACY LLC
Authorized official EMMANUEL AKERORO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2015
Last updated 12/30/2021 - About 4 years ago
Identifiers
MD License # P06878
MD Medicaid 094305300
Other 2149930 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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