Anjelo Mida Inc in Baltimore - Long Term Care Pharmacy

Anjelo Mida Inc - NPI 1902967078

Anjelo Mida Inc is a Long Term Care Pharmacy in Baltimore, Maryland. Anjelo Mida Inc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Anjelo Mida Inc is 1902967078. The last update date is 2010-05-20.

Anjelo Mida Inc's current location address is 1502 Joh Ave, Baltimore, Maryland. You can contact this provider via phone number 4107373151 and fax number 4107378450. The mailing address for Anjelo Mida Inc is 1502 Joh Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Anjelo Mida Inc
Address 1502 Joh Ave, Baltimore, Maryland
Phone Number 4107373151
Fax Number 4107378450
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACY M
Authorized Official Name Wutoh Loreen
Credentials RPH
Telephone Number 4107373151

NPI Number Detail

NPI Number 1902967078
Provider Enumeration Date 2006-12-13
Last Updated Date 2010-05-20

Provider Mailing Address Detail

Address 1502 Joh Ave
City Baltimore
State Maryland (MD)
Post Code 212271137
Phone Number 4107373151
Fax Number 4107378450

Provider's Primary Taxonomy Detail

Speciality Long Term Care Pharmacy
Taxonomy 3336L0003X
Licence No PW0203
Definition:
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2125234 NCPDP PROVIDER IDENTIFICATION
72800 MD --

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FAQs about Anjelo Mida Inc

What is the unique 10-digit identification code assigned to Anjelo Mida Inc by the Centers for Medicare & Medicaid Services?

The Anjelo Mida Inc has been issued the NPI (National Provider Identifier) 1902967078, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Anjelo Mida Inc's facilities are situated?

The facilities of Anjelo Mida Inc are physically located at the following address: 1502 Joh Ave, Baltimore, MD, 212271137.

What is the Anjelo Mida Inc's specialty and taxonomy code?

The Anjelo Mida Inc's specialty is Long Term Care Pharmacy, and the corresponding taxonomy code is 3336L0003X.

On what date was the 1902967078 assigned to Anjelo Mida Inc?

The Anjelo Mida Inc was issued its 1902967078 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Anjelo Mida Inc most recently updated or revised?

The information pertaining to Anjelo Mida Inc, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-20.

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