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Contact Information

THOMAS J CONNELLY JR
1 NORTH QUEEN STREET
RISING SUN, MD21911
 Phone: 410-658-6444
 Fax: 410-658-4222
 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 THOMAS J CONNELLY JR

NPI Number 1992748636
LBN Legal business name THOMAS J CONNELLY JR
Authorized official THOMAS CONNELLY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 05/20/2020 - About 6 years ago
Identifiers
MD License # P00902
MD Medicaid 031632600
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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