John Wayne Pharmacy Llc is a Specialty Pharmacy based in Severna Park, MD and is specialized in Specialty Pharmacy. John Wayne Pharmacy Llc practices in Baltimore, MD. The NPI Number for John Wayne Pharmacy Llc is 1457394108 and holds a License No. (Maryland).
The current practice location address for John Wayne Pharmacy Llc is 9106 Philadelphia Rd, Baltimore, MD and can be reached out via phone at 410-687-8113 and via fax at 410-391-3922.
Location: 9106 Philadelphia Rd, Baltimore, MD, 21146-4137
Provider Profile Details
NPI Number
1457394108
Provider Name
John Wayne Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
9106 Philadelphia Rd, Baltimore, MD, 21146-4137
Phone Number
410-687-8113
Fax Number
410-391-3922
Provider Enumeration Date
06/13/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011018300 | 05 | MD | |
| 2034379 | 01 | PK |
Provider Business Practice Location Address Details
Address
9106 Philadelphia Rd
City
State
Zip
21237-4329
Phone Number
410-687-8113
Fax Number
410-391-3922
Provider Business Mailing Address Details
Address
9106 Philadelphia Rd
City
State
Zip
21237-4329
Phone Number
410-687-8113
Fax Number
410-391-3922
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
P04404 (Maryland)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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