Antietam Health Services in Williamsport - Community/retail Pharmacy
Antietam Health Services - NPI 1104915321
Antietam Health Services is a Community/retail Pharmacy in Williamsport, Maryland. Antietam Health Services practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Antietam Health Services is 1104915321. The last update date is 2020-08-22.
Antietam Health Services's current location address is 307 E Potomac St, Williamsport, Maryland. You can contact this provider via phone number 3012234100 and fax number 3012236133. The mailing address for Antietam Health Services is 307 E Potomac St, Williamsport, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antietam Health Services |
|---|---|
| Address | 307 E Potomac St, Williamsport, Maryland |
| Phone Number | 3012234100 |
| Fax Number | 3012236133 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Hickman Allen Laurence |
| Credentials | RPH |
| Telephone Number | 3012234100 |
NPI Number Detail
| NPI Number | 1104915321 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 307 E Potomac St |
|---|---|
| City | Williamsport |
| State | Maryland (MD) |
| Post Code | 217951203 |
| Phone Number | 3012234100 |
| Fax Number | 3012236133 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | P02295 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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What is the unique provider identifier assigned to Antietam Health Services?
The Antietam Health Services has been issued the NPI (National Provider Identifier) 1104915321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Antietam Health Services?
The Antietam Health Services is situated at 307 E Potomac St, in the city of Williamsport, state of MD, with the zip code 217951203.
What is Antietam Health Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Antietam Health Services is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
When did Antietam Health Services receive its 1104915321 assignment?
The Antietam Health Services was assigned its 1104915321 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Antietam Health Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Antietam Health Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.