Independent Drug Immunization Llc

NPI 1104238427 - Pharmacy - 3336C0003X

NPI Details
NPI 1104238427
Enumeration Date 05/21/2014
Last Updated 05/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GEORGE GEORGE
Position PRESIDENT
Phone (410) 687-1115
Fax (410) 687-0032
Practice Location
28 KINGSTON RD
BALTIMORE MD, 21220-4814, US
Phone (410) 687-1115
Fax (410) 687-0032
Business Location
28 KINGSTON RD
BALTIMORE MD, 21220-4814, US
Phone (410) 687-1115
Fax (410) 687-0032
Toxanomy
Taxonomy Code 3336C0003X
License State Maryland
License Number P04009
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According to our database, Independent Drug Immunization Llc NPI is 1104238427, taxonomy code is 3336C0003X and license number is P04009, license state is located at Maryland. Independent Drug Immunization Llc physically located at 28 Kingston Rd, Baltimore MD, 21220-4814. NPI Number 1033115704 has the healthcare provider type.

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1104238427 NPI number is provided on an as is basis without warranty of any kind. 1104238427 is maintained by the National Plan & Provider Enumeration System. The contents of Independent Drug Immunization Llc are for informational purposes only.