Provider Demographics
NPI:1134496268
Name:COMFORT PHARMACY INC
Entity Type:Organization
Organization Name:COMFORT PHARMACY INC
Other - Org Name:COMFORT PHARMACY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOJIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-629-2435
Mailing Address - Street 1:PO BOX 29383
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-0183
Mailing Address - Country:US
Mailing Address - Phone:443-629-2435
Mailing Address - Fax:410-975-4610
Practice Address - Street 1:3240 BELAIR RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1228
Practice Address - Country:US
Practice Address - Phone:410-342-0616
Practice Address - Fax:410-342-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD056013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2136225OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2136225OtherNCPDP PROVIDER IDENTIFICATION NUMBER