Provider Demographics
NPI:1184628943
Name:ALLIED PHARMACEUTICAL SERVICE INC
Entity Type:Organization
Organization Name:ALLIED PHARMACEUTICAL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-309-0999
Mailing Address - Street 1:1201 SEVEN LOCKS RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2931
Mailing Address - Country:US
Mailing Address - Phone:301-309-0999
Mailing Address - Fax:301-309-0997
Practice Address - Street 1:1201 SEVEN LOCKS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-2931
Practice Address - Country:US
Practice Address - Phone:301-309-0999
Practice Address - Fax:301-309-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW01513336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0001149507Medicaid
MD0001156516Medicaid
MD009107690Medicaid
MD2120690OtherNABP
MD023890400Medicaid
MD008540021Medicaid
MD149448100Medicaid
MD0001149607Medicaid
MD408510800Medicare ID - Type UnspecifiedMARYLAND MEDICAID
MD2120690OtherNABP
MD008540021Medicaid