Healthcare Provider Details

I. General information

NPI: 1154788024
Provider Name (Legal Business Name): HEALTHPOINTE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2016
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9203 OXON HILL RD
FORT WASHINGTON MD
20744-4834
US

IV. Provider business mailing address

9203 OXON HILL RD
FORT WASHINGTON MD
20744-4834
US

V. Phone/Fax

Practice location:
  • Phone: 240-493-8792
  • Fax: 855-755-2356
Mailing address:
  • Phone: 240-350-8207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP07174
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: OLADAPO ALLI
Title or Position: CO-OWNER/PHARMACIST
Credential:
Phone: 240-350-8207