Healthcare Provider Details

I. General information

NPI: 1407253891
Provider Name (Legal Business Name): A V P PHARMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 MANKLIN MEADOWS LN STE 1
BERLIN MD
21811-9303
US

IV. Provider business mailing address

11005 MANKLIN MEADOWS LN STE 1
BERLIN MD
21811-9303
US

V. Phone/Fax

Practice location:
  • Phone: 410-629-0089
  • Fax: 410-629-0112
Mailing address:
  • Phone: 410-629-0089
  • Fax: 410-629-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTI PATEL
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 410-629-0089