MEDICARE: EVA PHARMACY LLC

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

General Provider Information

NPI Number	:	1538834528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVA PHARMACY LLC

Provider Business Mailing Address
First Line	:	2101 GARRISON BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-2606
Country	:	US
Telephone Number	:	410-725-3424
Fax Number	:	443-378-8553

Provider Business Practice Location Address
First Line	:	2101 GARRISON BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-2606
Country	:	US
Telephone Number	:	410-725-3424
Fax Number	:	443-378-8553

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADAUGO ELIZABETH ONYEKWERE
Credential	:
Telephone Number	:	410-725-3424

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	06/13/2025

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Directions to “EVA PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

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