Healthcare Provider Details

I. General information

NPI: 1912397829
Provider Name (Legal Business Name): FRANKFORD FAMILY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 12/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5422 SINCLAIR LN
BALTIMORE MD
21206-4645
US

IV. Provider business mailing address

5422 SINCLAIR LN
BALTIMORE MD
21206-4645
US

V. Phone/Fax

Practice location:
  • Phone: 410-485-7500
  • Fax: 410-488-0989
Mailing address:
  • Phone: 410-485-7500
  • Fax: 410-488-0989

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 NumberP06707
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID ROBINSON
Title or Position: PHARMACIST / OWNER
Credential:
Phone: 410-476-1238