Healthcare Provider Details

I. General information

NPI: 1649711029
Provider Name (Legal Business Name): UR CARE PHARMACY MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12619 WISTERIA DR STE A
GERMANTOWN MD
20874-5259
US

IV. Provider business mailing address

12619 WISTERIA DR STE A
GERMANTOWN MD
20874-5259
US

V. Phone/Fax

Practice location:
  • Phone: 301-569-6464
  • Fax: 301-407-1610
Mailing address:
  • Phone: 301-569-6464
  • Fax: 301-407-1610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07483
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DIPEN PATEL
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 301-569-6464