Healthcare Provider Details

I. General information

NPI: 1871837419
Provider Name (Legal Business Name): NORTHERN PHARMACY AND MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 HARFORD RD SUITE B
BALTIMORE MD
21234-7707
US

IV. Provider business mailing address

6701 HARFORD RD SUITE B
BALTIMORE MD
21234-7707
US

V. Phone/Fax

Practice location:
  • Phone: 443-909-7899
  • Fax: 443-321-0542
Mailing address:
  • Phone: 443-909-7899
  • Fax: 443-321-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPW0363
License Number StateMD

VIII. Authorized Official

Name: PEPPER KAREN MINTZ
Title or Position: COO/PRESIDENT
Credential:
Phone: 410-254-2055