Healthcare Provider Details

I. General information

NPI: 1255294898
Provider Name (Legal Business Name): VDN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6821 REISTERSTOWN RD STE 207
BALTIMORE MD
21215-1482
US

IV. Provider business mailing address

6821 REISTERSTOWN RD STE 207
BALTIMORE MD
21215-1482
US

V. Phone/Fax

Practice location:
  • Phone: 410-764-6500
  • Fax: 410-764-6600
Mailing address:
  • Phone: 410-764-6500
  • Fax: 410-764-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHAHBAZ CHAUDHRY
Title or Position: OWNER
Credential:
Phone: 410-764-6500