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MASTERS SPECILTIES LLC NPI 1194270611


NPI Information

NPI: 1194270611
Provider Name: MASTERS SPECILTIES LLC

Doing Business As: MASTERS SPECIALTY PHARMACY

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 21D2206685

Address:
1100 W PATRICK ST STE A
FREDERICK, MD
ZIP 21703
Phone: (240) 651-5966
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MASTERS SPECILTIES LLC is a health service clinic center in Frederick, MD. MASTERS SPECILTIES LLC NPI is 1194270611. The provider is registered as an organization entity type.
The provider Is Doing Business As Masters Specialty Pharmacy.

The provider's business location address is:

1100 W PATRICK ST STE A
FREDERICK, MD
ZIP 21703-903
Phone: (240) 651-5966
Fax: (240) 578-4980

The provider's authorized official is Emeka Kenneth Munonye .
The authorized official title is Pharmacist In Charge and has the following contact phone number (310) 489-9982.

The CLIA number assigned to this NPI record is 21D2206685 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2016 and was last updated on 8/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth Service19022MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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