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REHOBOTH HEALTHCARE SERVICES NPI 1790139442


NPI Information

NPI: 1790139442
Provider Name: REHOBOTH HEALTHCARE SERVICES

Doing Business As: OWINGS MILLS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
10085 RED RUN BLVD STE 104
SUITE 104
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 352-3818
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REHOBOTH HEALTHCARE SERVICES is a pharmacy in Owings Mills, MD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. REHOBOTH HEALTHCARE SERVICES NPI is 1790139442. The provider is registered as an organization entity type.
The provider Is Doing Business As Owings Mills Pharmacy.

The provider's business location address is:

10085 RED RUN BLVD STE 104
SUITE 104
OWINGS MILLS, MD
ZIP 21117-811
Phone: (443) 352-3818
Fax: (443) 379-0051

The provider's authorized official is Jean Tanon .
The authorized official title is Director and has the following contact phone number (443) 352-3818.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 9/2/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5333600000XPharmacyP07055MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12159837OTHERPK
21087894MEDICAIDMARYLAND

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: 5/5/2024

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