Healthcare Provider Details

I. General information

NPI: 1902913163
Provider Name (Legal Business Name): LAWSON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 LANDOVER RD
CHEVERLY MD
20785
US

IV. Provider business mailing address

PO BOX 5223
UPPER MALBORO MD
20775
US

V. Phone/Fax

Practice location:
  • Phone: 301-341-1779
  • Fax: 301-341-1523
Mailing address:
  • Phone: 301-341-1779
  • Fax: 301-341-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP01814
License Number StateMD

VIII. Authorized Official

Name: TINA M HART-LAWSON
Title or Position: CHIEF PHARMACIST
Credential: RPH PHARM D BS PHARM
Phone: 301-341-1779