Provider Demographics
NPI:1063841195
Name:THE PHARMACIA
Entity Type:Organization
Organization Name:THE PHARMACIA
Other - Org Name:THE PHARMACIA AT MT. WASHINGTON MILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-388-8710
Mailing Address - Street 1:1340 SMITH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3701
Mailing Address - Country:US
Mailing Address - Phone:443-388-8710
Mailing Address - Fax:443-869-3607
Practice Address - Street 1:1340 SMITH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3701
Practice Address - Country:US
Practice Address - Phone:443-388-8710
Practice Address - Fax:443-869-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD154733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy