MEDICARE: LAWSONS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2112629	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1073607487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWSONS PHARMACY INC

Provider Business Mailing Address
First Line	:	3415 HAMILTON ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-864-4043
Fax Number	:	301-864-5548

Provider Business Practice Location Address
First Line	:	3415 HAMILTON ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-864-4043
Fax Number	:	301-864-5548

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD SABATELLI
Credential	:	RPH
Telephone Number	:	301-864-4043

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/13/2015

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Directions to “LAWSONS PHARMACY INC ” Practice Location

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