Mattapony Care Pharmacy in Bladensburg - Compounding Pharmacy
Mattapony Care Pharmacy - NPI 1164579215
Mattapony Care Pharmacy is a Compounding Pharmacy in Bladensburg, Maryland. Mattapony Care Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Mattapony Care Pharmacy is 1164579215. The last update date is 2007-09-12.
Mattapony Care Pharmacy's current location address is 4919 57th Ave, Bladensburg, Maryland. You can contact this provider via phone number 3017792500 and fax number 3016998219. The mailing address for Mattapony Care Pharmacy is 4919 57th Ave, Bladensburg, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mattapony Care Pharmacy |
|---|---|
| Address | 4919 57th Ave, Bladensburg, Maryland |
| Phone Number | 3017792500 |
| Fax Number | 3016998219 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Rosenburg Walter |
| Credentials | PD |
| Telephone Number | 3017792500 |
NPI Number Detail
| NPI Number | 1164579215 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 4919 57th Ave |
|---|---|
| City | Bladensburg |
| State | Maryland (MD) |
| Post Code | 207101605 |
| Phone Number | 3017792500 |
| Fax Number | 3016998219 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2101943 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 2101943 | OTHER ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mattapony Care Pharmacy by the Centers for Medicare & Medicaid Services?
The Mattapony Care Pharmacy has been issued the NPI (National Provider Identifier) 1164579215, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mattapony Care Pharmacy's facilities are geographically located?
The facilities of Mattapony Care Pharmacy are physically situated at the following location: 4919 57Th Ave, Bladensburg, MD, 207101605.
What is Mattapony Care Pharmacy's area of expertise and its corresponding taxonomy classification?
The Mattapony Care Pharmacy's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
When was the Mattapony Care Pharmacy's 1164579215 issued?
The Mattapony Care Pharmacy's 1164579215 was issued on 2007-01-04.
As of what date was the information regarding Mattapony Care Pharmacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mattapony Care Pharmacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY