Provider Demographics
NPI:1588496079
Name:LAUREL MEDICAL CENTER PHARMACY INC
Entity type:Organization
Organization Name:LAUREL MEDICAL CENTER PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OBIANUJU
Authorized Official - Middle Name:
Authorized Official - Last Name:NWADINIGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-467-4140
Mailing Address - Street 1:7140 CONTEE RD # 1200
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:301-849-1201
Mailing Address - Fax:301-849-1202
Practice Address - Street 1:7140 CONTEE RD # 1200
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:301-849-1202
Practice Address - Fax:301-849-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No331L00000XSuppliersBlood Bank
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy