Indian Head Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Indian Head, MD
NPI 1306105127 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1306105127
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P05725 (MD)
- Legal business name
- INDIAN HEAD PHARMACY INC
- Practice address
- 4115 Indian Head Hwy
Indian Head, MD 20640-1750 - Phone
- (301) 684-2580
- Fax
- (301) 684-2593
- NPI assigned
- May 14, 2012
- Organization subpart
- No
Authorized official
- Name
- James Chen, RPH
- Title
- Owner
- Phone
- (301) 743-3875
National Provider Directory
Locations
4115 Indian Head Hwy
Indian Head, MD 20640
Phone (301) 684-2580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P05725 | MD | Yes |
Addresses
Primary practice location
4115 Indian Head Hwy
Indian Head, MD 20640-1750
Mailing address
4115 Indian Head Hwy
Indian Head, MD 20640-1750
Phone (301) 684-2580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135309 | Other | PK | |
| 335427000 | Medicaid | MD |
Other names
- Indian Head Care Pharmacy
Other providers in Indian Head, MD
- Anisa Marie Graham
- Benjamin Graves
- Dale R Harman
- David Paul Horvath
- Ijeoma Igwe
- Indian Head Volunteer Fire Dept and Rescue Squad, Inc.
- Channel James
- Surnita Lawon Jefferson-Jones
- Sherry Teresa Johnson
- Carllisa Roshea Jordan
All providers in Indian Head, 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 Nov 12, 2015. 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.