Laurel Main Street Pharmacy Incorporated

NPI #1477558112 in Laurel, Maryland

Provider Information

NPI Number: 1477558112
Entity Type: Organization
Organization Name: Laurel Main Street Pharmacy Incorporated
Primary Specialty: Pharmacist
Enumeration Date: Jun 18, 2005
Last Updated: Sep 14, 2023

Practice Location

Address: 667 MAIN ST
City: Laurel
State: Maryland
ZIP Code: 20707-4067
Phone: (301) 317-3838

Authorized Official

Name: ALI H THAKKAR
Title: OWNER
Phone: (301) 317-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Pharmacist	183500000X	Primary

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