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NPI Code Detail

MEDICARE: MARYLAND GROCERY STORE COMPANY

MEDICARE: MARYLAND GROCERY STORE COMPANY
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1487478798
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYLAND GROCERY STORE COMPANY
Provider Business Mailing Address
First Line : 700 CRANBERRY WOODS DR
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5213
Country : US
Telephone Number : 412-963-6200
Fax Number :
Provider Business Practice Location Address
First Line : 700 CRANBERRY WOODS DR
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5213
Country : US
Telephone Number : 412-963-6200
Fax Number :
Authorized Official
Title or Position : VP OF PHARMACY
Name : MICHAEL CHAPPELL
Credential :
Telephone Number : 412-963-6200
Provider Enumeration Date : 11/13/2024
Last Update Date : 11/13/2024

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Directions to “MARYLAND GROCERY STORE COMPANY ” Practice Location

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