Healthcare Provider Details

I. General information

NPI: 1144281239
Provider Name (Legal Business Name): MARION PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 07/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26427 BURTON AVE
CRISFIELD MD
21817-1248
US

IV. Provider business mailing address

26427 BURTON AVE
CRISFIELD MD
21817-1248
US

V. Phone/Fax

Practice location:
  • Phone: 410-968-2300
  • Fax: 410-968-1117
Mailing address:
  • Phone: 410-968-2300
  • Fax: 410-968-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP00411
License Number StateMD

VIII. Authorized Official

Name: MRS. KAREN L KITCHING
Title or Position: MANAGER
Credential:
Phone: 410-968-2300