Provider Demographics
NPI:1528308236
Name:ALSBIZ GROUP INC
Entity type:Organization
Organization Name:ALSBIZ GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLABISI
Authorized Official - Middle Name:JANET
Authorized Official - Last Name:ADEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:410-466-0322
Mailing Address - Street 1:PO BOX 1151
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-6151
Mailing Address - Country:US
Mailing Address - Phone:410-466-0322
Mailing Address - Fax:410-466-0324
Practice Address - Street 1:3539 DOLFIELD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-6125
Practice Address - Country:US
Practice Address - Phone:410-466-0322
Practice Address - Fax:410-466-0324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X, 3336N0007X
MDP059253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336N0007XSuppliersPharmacyNuclear Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7590960001OtherMEDICARE NSC
2140124OtherPK
MD2137304Medicaid