MEDICARE: JAMES TUDOR IV PHARMACY TECH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	T23546	MD

General Provider Information

NPI Number	:	1346818853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES TUDOR IV PHARMACY TECH

Provider Business Mailing Address
First Line	:	501 POTOMAC AVE
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-3112
Country	:	US
Telephone Number	:	443-635-7167
Fax Number	:

Provider Business Practice Location Address
First Line	:	6402 GOLDEN RING RD
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-2010
Country	:	US
Telephone Number	:	410-866-2500
Fax Number	:	410-866-6486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2021
Last Update Date	:	06/12/2021

Similar Medicare Providers

1790096527 — LEEZA M WAGER PHARMD
Practice Location Address:

6402 GOLDEN RING RD
ROSEDALE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax: 410-866-6486

1841981735 — MARIAH MIRELES
Practice Location Address:

6402 GOLDEN RING RD
ROSEDALE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax: 410-866-6486

1699451856 — JAMEELA I EL-AMIN
Practice Location Address:

2010 ROSEDALE ST NE APT 1
WASHINGTON, DC
20002-4755

Practice Phone: 202-292-9317
Practice Fax:

1740093558 — MR. MELVIN KENNY JR. LMSW
Practice Location Address:

24022 143RD AVE
ROSEDALE, NY
11422-2010

Practice Phone: 347-752-3149
Practice Fax:

1154431823 — RITE AID OF MARYLAND INC
Practice Location Address:

6402 GOLDEN RING ROAD
BALTIMORE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax:

1295028538 — HUGH ANTHONY SMITH
Practice Location Address:

6402 GOLDEN RING RD
BALTIMORE, MD
21237-2010

Practice Phone: 410-866-2500
Practice Fax:

Directions to “ JAMES TUDOR IV PHARMACY TECH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.