Provider Demographics
NPI:1316183759
Name:SAUBELS MARKET LLC
Entity Type:Organization
Organization Name:SAUBELS MARKET LLC
Other - Org Name:SAUBELS PHARMACY WHITEFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-880-9313
Mailing Address - Street 1:2902 WHITEFORD RD
Mailing Address - Street 2:
Mailing Address - City:WHITEFORD
Mailing Address - State:MD
Mailing Address - Zip Code:21160-1113
Mailing Address - Country:US
Mailing Address - Phone:410-452-5969
Mailing Address - Fax:410-452-8741
Practice Address - Street 1:2902 WHITEFORD RD
Practice Address - Street 2:
Practice Address - City:WHITEFORD
Practice Address - State:MD
Practice Address - Zip Code:21160-1113
Practice Address - Country:US
Practice Address - Phone:410-452-0339
Practice Address - Fax:410-452-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MDP048573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2118443OtherPK