MEDICARE: PARKLAND PHARMACY INC.

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1457799132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKLAND PHARMACY INC.

Provider Business Mailing Address
First Line	:	5421 TALON CT
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-1142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6104 OLD SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2111
Country	:	US
Telephone Number	:	240-788-7357
Fax Number	:	240-788-7359

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. RAKHI DE
Credential	:	RPH
Telephone Number	:	240-476-4089

Provider Enumeration Date	:	06/04/2013
Last Update Date	:	06/04/2013

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