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Contact Information

GARDENVILLE PHARMACY LLC
5415 BELAIR RD
BALTIMORE, MD21206-4207
 Phone: 856-506-1836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GARDENVILLE PHARMACY LLC

NPI # 1730879784
LBN Legal business name GARDENVILLE PHARMACY LLC
Authorized official ANDREW NYE - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2023
Last updated 02/22/2024 - About 2 years ago
Identifiers n/a
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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