Deck LLC
Organization Active NPI Community/Retail Pharmacy · St Michaels, MD
NPI 1104996099 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1104996099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P02280 (MD)
- Legal business name
- DECK LLC
- Practice address
- 204 S Talbot
St Michaels, MD 21663 - Phone
- (410) 745-6700
- Fax
- (410) 745-4016
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- David Hopkins, RPH
- Title
- Owner
- Phone
- (410) 745-6700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P02280 | MD | Yes |
Addresses
Primary practice location
204 S Talbot
St Michaels, MD 21663
Mailing address
204 S Talbot
PO Box 567
St Michaels, MD 21663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406149700 | Medicaid | MD | |
| 2122911 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- MEDICINE SHOPPE PHARMACY
Other providers in St Michaels, MD
- Choptank Community Health System Inc
- Choptank Community Health System, Inc.
- Choptank Community Health System, Inc.
- Kelly M Cooper
- Deborah C. Gootee CRNP-PMH, LLC
- Gregory Dukes
- Carrie Jean Ettinger
- Stephanie Rejeana Faulkner
- Stacy Ann Fox
- Susan Marie Hagelman
All providers in St Michaels, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.