LAUREL MAIN STREET PHARMACY; NPI #1043968530

Contact Information

LAUREL MAIN STREET PHARMACY

667 MAIN ST
LAUREL, MD 20707-4067

Phone: 301-317-3838
Fax: 301-317-3637
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for LAUREL MAIN STREET PHARMACY

NPI Number 1043968530

LBN Legal business name LAUREL MAIN STREET PHARMACY

Authorized official ALI THAKKAR - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2022

Last updated 05/20/2025 - More than a year ago

Identifiers

DC	Medicaid	037359100
MD	Medicaid	336716900
MD	Medicaid	443806000

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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LAUREL MAIN STREET PHARMACY

Contact Information

Specialty

Long Term Care Pharmacy

Clinic Pharmacy

Community/Retail Pharmacy

Compounding Pharmacy

Primary Care

NPI Profile & details for LAUREL MAIN STREET PHARMACY

Reviews for LAUREL MAIN STREET PHARMACY