=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922513167
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VAMSH HEALTH SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2017
-----------------------------------------------------
Last Update Date | 03/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10309 GRAND CENTRAL AVE STE 110
-----------------------------------------------------
City | OWINGS MILLS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117-4182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-505-9500
-----------------------------------------------------
Fax | 410-505-9505
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10309 GRAND CENTRAL AVE STE 110
-----------------------------------------------------
City | OWINGS MILLS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117-4182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-505-9500
-----------------------------------------------------
Fax | 410-505-9505
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST IN CHARGE
-----------------------------------------------------
Name | AFIA AHSAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 410-505-9500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------