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Anjelo Mida Inc
Long Term Care Pharmacy in Baltimore, Maryland
NPI 1902967078

Anjelo Mida Inc is a Long Term Care Pharmacy based in Baltimore, MD and is specialized in Long Term Care Pharmacy. Anjelo Mida Inc practices in Baltimore, MD. The NPI Number for Anjelo Mida Inc is 1902967078 and holds a License No. PW0203 (Maryland).

The current practice location address for Anjelo Mida Inc is 1502 Joh Ave, Baltimore, MD and can be reached out via phone at 410-737-3151 and via fax at 410-737-8450.

Location: 1502 Joh Ave, Baltimore, MD, 21227-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902967078
Provider Name
Anjelo Mida Inc
Credential
Provider Entity Type
Organization
Address
1502 Joh Ave, Baltimore, MD, 21227-1137
Phone Number
410-737-3151
Fax Number
410-737-8450
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2125234 01 NCPDP PROVIDER IDENTIFICATION NUMBER
000072800 05 MD
institution
Provider Business Practice Location Address Details
Address
1502 Joh Ave
City
Baltimore
State
Maryland
Zip
21227-1137
Phone Number
410-737-3151
Fax Number
410-737-8450
person
Provider Business Mailing Address Details
Address
1502 Joh Ave
City
Baltimore
State
Maryland
Zip
21227-1137
Phone Number
410-737-3151
Fax Number
410-737-8450
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PW0203 (Maryland)
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.
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