Provider Demographics
NPI:1932782372
Name:CORNERSTONE PHARMACY
Entity type:Organization
Organization Name:CORNERSTONE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHIAMBAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-290-4933
Mailing Address - Street 1:8713 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-4650
Mailing Address - Country:US
Mailing Address - Phone:443-290-4933
Mailing Address - Fax:443-725-7765
Practice Address - Street 1:8713 HARFORD RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-4650
Practice Address - Country:US
Practice Address - Phone:443-290-4933
Practice Address - Fax:443-725-7765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4432904933OtherPHONE NUMBER