Healthcare Provider Details

I. General information

NPI: 1235057415
Provider Name (Legal Business Name): PARK PROFESSIONAL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 RITCHIE HWY STE N
SEVERNA PARK MD
21146-3926
US

IV. Provider business mailing address

580 RITCHIE HWY STE N
SEVERNA PARK MD
21146-3926
US

V. Phone/Fax

Practice location:
  • Phone: 410-544-7275
  • Fax: 410-544-9586
Mailing address:
  • Phone: 410-544-7275
  • Fax: 410-544-9586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NEIL MCGARVEY
Title or Position: PHARMACY OWNER
Credential: PHARMD
Phone: 410-544-7275