Healthcare Provider Details

I. General information

NPI: 1023754165
Provider Name (Legal Business Name): NEIGHBORHOOD MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S MAIN ST
HEBRON MD
21830-2186
US

IV. Provider business mailing address

30393 SOUTHAMPTON BRIDGE RD
SALISBURY MD
21804-2497
US

V. Phone/Fax

Practice location:
  • Phone: 443-978-8660
  • Fax: 443-978-8698
Mailing address:
  • Phone: 443-929-0401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANGURO DUWON
Title or Position: PHARMACIST
Credential:
Phone: 449-292-0401