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Contact Information

REA AND DERICK INC P 1835
5500 BUCKEYSTOWN PK FRCS SCT KEY MALL
FREDERICK, MD21703
 Phone: 301-662-8606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for REA AND DERICK INC P 1835

NPI # 1720185218
LBN Legal business name REA AND DERICK INC P 1835
Authorized official CRISTIANA MAURICIO - (MGR PHCY ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 02/29/2008 - About 18 years ago
Identifiers
MD License # P01188
Other 2110649 OTHER ID NUMBER-COMMERCIAL NUMBER
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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