ANJELO MIDA INC NPI 1902967078

NPI Information

  • NPI: 1902967078
  • Provider Name: ANJELO MIDA INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ANJELO MIDA INC
  • Address: 1502 JOH AVE
    STE 100
    BALTIMORE, MD
    ZIP 21227
  • Phone: (410) 737-3151

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NPI Details

ANJELO MIDA INC is a long term care pharmacy pharmacy in Baltimore, MD. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ANJELO MIDA INC NPI is 1902967078. The provider is registered as an organization entity type.
The provider Is Doing Business As Anjelo Mida Inc.

The provider's business location address is:

1502 JOH AVE
STE 100
BALTIMORE, MD
ZIP 21227-137
Phone: (410) 737-3151
Fax: (410) 737-8450

The provider's authorized official is Loreen Wutoh .
The authorized official title is Pharmacy Manager and has the following contact phone number (410) 737-3151.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 5/20/2010.

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
13336L0003XPharmacyLong Term Care PharmacyPW0203MARYLANDYes

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
12125234OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2000072800MEDICAIDMARYLAND

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: 3/30/2025

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