Healthcare Provider Details

I. General information

NPI: 1568305514
Provider Name (Legal Business Name): INTEGRATED HEALTH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 N COLLINGTON AVE
BALTIMORE MD
21205-1647
US

IV. Provider business mailing address

814 N COLLINGTON AVE
BALTIMORE MD
21205-1647
US

V. Phone/Fax

Practice location:
  • Phone: 267-414-4500
  • Fax:
Mailing address:
  • Phone: 267-414-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. LORI FELDMAN
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 267-414-4500