Provider Demographics
NPI:1295847283
Name:E N O & ASSOCIATES INC
Entity Type:Organization
Organization Name:E N O & ASSOCIATES INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OKANG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-284-0700
Mailing Address - Street 1:202 WISE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-4910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 WISE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-4910
Practice Address - Country:US
Practice Address - Phone:410-284-0700
Practice Address - Fax:410-284-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPO12043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD699355900Medicaid
MD038601400Medicaid
2113645OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2113645OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MD699355900Medicaid