Healthcare Provider Details
I. General information
NPI: 1578674651
Provider Name (Legal Business Name): CORRECT RX PHARMACY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 08/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1352 CHARWOOD RD SUITE C
HANOVER MD
21076-3125
US
IV. Provider business mailing address
1352 CHARWOOD RD SUITE C
HANOVER MD
21076-3125
US
V. Phone/Fax
- Phone: 443-557-0100
- Fax: 443-557-0333
- Phone: 443-557-0100
- Fax: 443-557-0333
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | PW0234 |
| License Number State | MD |
VIII. Authorized Official
Name:
JAMES
TRISTANI
Title or Position: VP OF PURCHASING
Credential: RPH
Phone: 443-557-0022