Healthcare Provider Details
I. General information
NPI: 1982608931
Provider Name (Legal Business Name): SNOW HILL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2005
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5610 MARKET ST
SNOW HILL MD
21863-2411
US
IV. Provider business mailing address
5610 MARKET ST
SNOW HILL MD
21863-2411
US
V. Phone/Fax
- Phone: 410-632-3500
- Fax: 410-632-9900
- Phone: 410-632-3500
- Fax: 410-632-9900
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 | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | P02343 |
| License Number State | MD |
VIII. Authorized Official
Name:
JEFFREY
SHERR
Title or Position: OWNER
Credential: RPH
Phone: 410-749-8401