Provider Demographics
NPI:1396069423
Name:MEDSTAR PHARMACIES, INC.
Entity type:Organization
Organization Name:MEDSTAR PHARMACIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER, CENTRAL PHARMACY SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARACINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-540-4492
Mailing Address - Street 1:7379 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6358
Mailing Address - Country:US
Mailing Address - Phone:410-540-4492
Mailing Address - Fax:410-579-8264
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2950
Practice Address - Country:US
Practice Address - Phone:443-444-4760
Practice Address - Fax:443-444-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy