Provider Demographics
NPI:1891833463
Name:MED ONE PHARMACY INC DBA NEW MARKET PHARMACY
Entity type:Organization
Organization Name:MED ONE PHARMACY INC DBA NEW MARKET PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMICIST
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-712-7865
Mailing Address - Street 1:11717 OLD NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6154
Mailing Address - Country:US
Mailing Address - Phone:301-865-5920
Mailing Address - Fax:301-865-5921
Practice Address - Street 1:11717 OLD NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6154
Practice Address - Country:US
Practice Address - Phone:301-865-5920
Practice Address - Fax:301-865-5921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MDP072373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2166514OtherPK