Organization · NPI-2

Crowns Pharmacy LLC

Pharmacy, Clinic Pharmacy · Laurel, MD

NPI number1417560962
StatusActive
Last updated in NPPESAug 25, 2020

Details

NPI
1417560962
Entity type
Organization (NPI-2)
Legal business name
Crowns Pharmacy LLC
Organization subpart
No
Enumeration date
Aug 25, 2020
Certification date
Aug 25, 2020
Last updated
Aug 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0002X Pharmacy, Clinic Pharmacy––Yes

Other names

  • Crowns Pharmacy LLC (Doing Business As)

Practice location

9705 Fort Meade Rd
Laurel, MD 20707-4405

Phone 301-477-7141 · Fax 240-391-6676

Mailing address

6381 Grateful Heart Gate
Columbia, MD 21044-6003

Phone 301-477-7141 · Fax 240-391-6676

Authorized official

Chukwuedozie H Okotcha
Managing Owner
3014777141

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