Healthcare Provider Details

I. General information

NPI: 1871729236
Provider Name (Legal Business Name): CARE ONE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 PENNSYLVANIA AVE
BALTIMORE MD
21217-3214
US

IV. Provider business mailing address

1835 PENNSYLVANIA AVE
BALTIMORE MD
21217-3214
US

V. Phone/Fax

Practice location:
  • Phone: 410-669-3744
  • Fax: 410-669-3747
Mailing address:
  • Phone: 410-669-3744
  • Fax: 410-669-3747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP05027
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PETER OKOJIE
Title or Position: OWNER
Credential:
Phone: 410-669-3744