Provider Demographics
NPI:1427459072
Name:DYNAMIC CARE PHARMACY WESTMINSTER
Entity type:Organization
Organization Name:DYNAMIC CARE PHARMACY WESTMINSTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF PHARMACY SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:OMOLOLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:PEFOK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:301-455-1844
Mailing Address - Street 1:844 WASHINGTON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6664
Mailing Address - Country:US
Mailing Address - Phone:410-848-1990
Mailing Address - Fax:410-848-1886
Practice Address - Street 1:844 WASHINGTON RD STE 205
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6664
Practice Address - Country:US
Practice Address - Phone:410-848-1990
Practice Address - Fax:410-848-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy