Healthcare Provider Details

I. General information

NPI: 1689698383
Provider Name (Legal Business Name): CONTRACT PHARMACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 THIRD AVE
ELDERSBURG MD
21784-5201
US

IV. Provider business mailing address

125 TITUS AVE
WARRINGTON PA
18976-2424
US

V. Phone/Fax

Practice location:
  • Phone: 410-549-8922
  • Fax: 410-549-3677
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPW0278
License Number StateMD

VIII. Authorized Official

Name: WAYNE SHAFER
Title or Position: OWNER
Credential:
Phone: 267-487-8900