WALGREENS#2446


Address: 6 South Marlyn Ave, Essex, MD 21221
Phone: 4109180790

WALGREENS#2446 (NPI# 1851764740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851764740
Entity Type Organization
Organization Name WALGREENS#2446
Practice Address 6 South Marlyn Ave
Essex
MD 21221
Mailing Address 6 S Marlyn Ave
Essex
MD 21221-5021
Practice Telephone 4109180790
Practice Fax Number 4109180796
Mailing Telephone 4109180790
Mailing Fax Number 4109180796
Enumeration Date 2015-11-02
Last Update Date 2015-11-02
Authorized Official Name DR. ROBERTO LICIER (PHARMACIST)
Authorized Official Telephone 4109180790
Authorized Official Credential PHARM.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
10970 MD Ambulatory Health Care Facilities

Office Location

Street Address 6 SOUTH MARLYN AVE
City ESSEX
State MD
Zip Code 21221

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1831584184 Kfm Inc Pharmacy 901 Eastern Blvd, Suite 100, Essex, MD 21221 2015-04-03
1063811420 Eliza Chappelle Pharmacist 500 Eastern Avenue, Baltimore, MD 21221 2014-08-21
1316350549 Stephen Riggin Jr. Pharmacist 500 Eastern Ave., Essex, MD 21221 2014-06-05
1891118899 Shiphrah Birthing Services Midwife 617 Stemmers Run Rd Ste E, Essex, MD 21221 2014-01-27
1528496817 Positive Interventions LLC Public Health or Welfare 928 Ashbridge Drive Apt. L, Essex, MD 21221 2013-10-23
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1679073498 Impacting Tomorrow Health Center Clinic/Center 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 2018-02-19
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Competitor

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City ESSEX
Zip Code 21221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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