Provider Demographics
NPI:1215351978
Name:MARYLAND PHARMACY AND HOME INFUSION INC.
Entity type:Organization
Organization Name:MARYLAND PHARMACY AND HOME INFUSION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:BUAGU
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-824-4821
Mailing Address - Street 1:1251 W PRATT ST
Mailing Address - Street 2:UNIT 10
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21223-2665
Mailing Address - Country:US
Mailing Address - Phone:410-962-7013
Mailing Address - Fax:410-962-7014
Practice Address - Street 1:1251 W PRATT ST
Practice Address - Street 2:UNIT 10
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-2665
Practice Address - Country:US
Practice Address - Phone:410-962-7013
Practice Address - Fax:410-962-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP06168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty