Shoprite of Perring Parkway LLC

NPI #1679843361 in Parkville, Maryland

Provider Information

NPI Number
1679843361
Entity Type
Organization
Organization Name
Shoprite of Perring Parkway LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 11, 2012
Last Updated
Feb 1, 2012

Practice Location

Address
2401 CLEANLEIGH DR
ZIP Code
21234-6808
Phone
(410) 420-8224

Authorized Official

Name
CAROLE HOJNOSKI
Title
THIRD PARTY ADMINISTRATOR
Phone
(732) 521-8439

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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