Provider Demographics
NPI:1104658699
Name:LMCRX LTC
Entity type:Organization
Organization Name:LMCRX LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EJIKE
Authorized Official - Middle Name:I
Authorized Official - Last Name:UNEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:301-467-4140
Mailing Address - Street 1:7140 CONTEE RD # 1200B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9527
Mailing Address - Country:US
Mailing Address - Phone:301-467-4140
Mailing Address - Fax:
Practice Address - Street 1:7140 CONTEE RD # 1200B
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-9527
Practice Address - Country:US
Practice Address - Phone:301-467-4140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy