Provider Demographics
NPI:1083661888
Name:CARROLL CARE PHARMACIES LLC
Entity Type:Organization
Organization Name:CARROLL CARE PHARMACIES LLC
Other - Org Name:ANCHOR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONSMANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-848-9251
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-5706
Mailing Address - Country:US
Mailing Address - Phone:410-848-9251
Mailing Address - Fax:443-639-0093
Practice Address - Street 1:291 STONER AVE STE 206
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5659
Practice Address - Country:US
Practice Address - Phone:410-848-1618
Practice Address - Fax:410-848-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP014733336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2037831OtherPK
MD405352400Medicaid
5144850001Medicare NSC