Provider Demographics
NPI:1992101372
Name:C&E PHARMACY SERVICES, LLC
Entity type:Organization
Organization Name:C&E PHARMACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MARY ANN
Authorized Official - Last Name:GRANADO BOESEL
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:443-949-9353
Mailing Address - Street 1:1273 CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-4710
Mailing Address - Country:US
Mailing Address - Phone:443-949-9353
Mailing Address - Fax:443-949-9353
Practice Address - Street 1:1273 CREEK DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-4710
Practice Address - Country:US
Practice Address - Phone:443-949-9353
Practice Address - Fax:443-949-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty