NPI Code Details Logo

NPI 1295819548

NPI 1295819548 : CITIZENS PHARMACY SERVICES INC : HAVRE DE GRACE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295819548
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CITIZENS PHARMACY SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/24/2006
-----------------------------------------------------
    Last Update Date     |    09/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    415A MARKET ST STE B
-----------------------------------------------------
    City                 |    HAVRE DE GRACE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21078-3301
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-939-4404
-----------------------------------------------------
    Fax                  |    410-929-3609
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    415A MARKET ST STE B
-----------------------------------------------------
    City                 |    HAVRE DE GRACE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21078-3301
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-939-4404
-----------------------------------------------------
    Fax                  |    410-939-3609
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PHCY DIRECTOR
-----------------------------------------------------
    Name                 |     KEITH  POZANEK 
-----------------------------------------------------
    Credential           |    BS PHARMACY
-----------------------------------------------------
    Telephone            |    410-939-4404
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336L0003X
-----------------------------------------------------
    Taxonomy Name        |    Long Term Care Pharmacy
-----------------------------------------------------
    License Number       |    PW0473
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.