Healthcare Provider Details

I. General information

NPI: 1851627251
Provider Name (Legal Business Name): TRUE HEALTH PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 KOPPERS ST STE 154
BALTIMORE MD
21227-1019
US

IV. Provider business mailing address

3700 KOPPERS ST STE 154
BALTIMORE MD
21227-1019
US

V. Phone/Fax

Practice location:
  • Phone: 866-778-6726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANTOSH DWARAKANATH
Title or Position: DIRECTOR
Credential: PHARMACIST
Phone: 866-778-6726