Healthcare Provider Details

I. General information

NPI: 1942125257
Provider Name (Legal Business Name): MD PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MITCHELLVILLE RD STE A414
BOWIE MD
20716-3142
US

IV. Provider business mailing address

4000 MITCHELLVILLE RD STE A414
BOWIE MD
20716-3142
US

V. Phone/Fax

Practice location:
  • Phone: 301-249-8100
  • Fax:
Mailing address:
  • Phone: 301-249-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AYOKUNLE OLULEYE
Title or Position: CEO
Credential:
Phone: 301-249-8100