National Provider Identifier Database

CENTREVILLE DRUGS INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CENTREVILLE DRUGS INC
102 COMMERCE STREET
CENTREVILLE, MD21617
Phone: 410-758-1715
Fax: 410-758-3112
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for CENTREVILLE DRUGS INC

NPI Number 1184723942
Legal business name
LBN
CENTREVILLE DRUGS INC
Authorized official SHALENDRA CHERUKURI - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/21/2006
Last updated 01/18/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: P04614
  • MD Medicaid: 013917300
  • Other: 2104913 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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