Healthcare Provider Details

I. General information

NPI: 1811812761
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 SPARROWS POINT BLVD STE 501
SPARROWS POINT MD
21219-1462
US

IV. Provider business mailing address

900 ELKRIDGE LANDING RD STE 2
LINTHICUM MD
21090-2924
US

V. Phone/Fax

Practice location:
  • Phone: 667-233-5100
  • Fax:
Mailing address:
  • Phone: 240-461-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT STACHOWSKI
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 410-328-6886