Healthcare Provider Details

I. General information

NPI: 1649416587
Provider Name (Legal Business Name): CLINICAL PHARMACY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2008
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 TALBOTT AVE SUITE A
LAUREL MD
20707-4334
US

IV. Provider business mailing address

316 TALBOTT AVE SUITE A
LAUREL MD
20707-4334
US

V. Phone/Fax

Practice location:
  • Phone: 301-617-0555
  • Fax: 301-617-0228
Mailing address:
  • Phone: 301-617-0555
  • Fax: 301-617-0228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH2054
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number11042
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202010214
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP031210L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number014037
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number011143
License Number StateSC
# 7
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number297391
License Number StateMD

VIII. Authorized Official

Name: DR. CHRISTOPHER A KEEYS
Title or Position: PRESIDENT
Credential: PHARMD, BCPS,R.PH.
Phone: 301-617-0555